Affiliate Organization Application | International Association of Psychosexual Therapists

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Affiliate Organization Application

Complete this application and pay the $500 affiliation fee.

Organization name *Organization website *Size of the organizationApproximate number of members or staff.

Responsible committee member name *Committee member email *

Is the responsible committee member a fully certified psychosexual therapist?

YesNo

Upload organization logo *JPG, PNG, WebP, or GIF. Max 10 MB.

Affiliation fee

Application fee: $500 USD. You will be redirected to Stripe Checkout to complete payment after submitting this form.

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