Child Abuse and Domestic Violence Prevention - Long Beach, CA

End Abuse Long Beach
CHILD ABUSE & DOMESTIC VIOLENCE PREVENTION COUNCIL
Since 1975
www.EndAbuseLB.org

CAMFT Approved Continuing Education Provider

Membership 2017

Benefits for End Abuse Long Beach members:

To become a member or renew(individuals only):

1. Choose a payment option:
Pay online using your credit card.
Annual Membership:
- - - - - OR - - - - - - -
Write a check
2. Fill-in and print this form, or attach your business card.
1. Pay online with a credit card at www.EndAbuseLB.org or write a check.
2. Fill-in this form, or attach your business card.
3. Turn in at our meeting, or mail to: 235 Saint Joseph Ave, Long Beach, CA 90803-1759.
Tax ID: 33-0583682   CAMFT-approved Provider #: 130371
Member Type: Regular $30/yr   CEU $45/yr   Student $5/yr
  Renewal    New Member     I am paying by:Check Online 



- - - - - Additional information for New Members or changes for a Renewal
(For the Member Directory - Public information):




 

CAPIT-funded? Yes
'Opt-Out' being listed in the Member Directory emailed quarterly?(I want privacy) Yes

*To create a listing in our Online Directory at www.EndAbuseLB.org, email your 'Business Card', Mission, other information, and your picture to: Paul@EndAbuseLB.org.
Organization leaders only, one person per organization, serving Long Beach. Rev 6/27/17