2024 Iowa Chapter of Music Therapy

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Board Certified Professionals and Students Registration Form

Through January, registration dues are $15 paid to Iowa Chapter of Music Therapy. Payment can be submitted via Venmo (@Iowa-ChapterofMusicTherapy) or email iowachapterofmusictherapy@gmail.com for an address where checks can be mailed. **NOTE: Please do not mark your Venmo payment as a "Good or Service" as we have a fee deducted from the payment when it is marked as such.**

An e-receipt for your membership dues will be sent along with information to access online resources like contacts and job postings.

Name & Credentials: *

CBMT # *

Preferred Email Address: *

Preferred Phone Number: *

City, State *

Workplace *

Please list 1-3 populations that you primarily serve. *

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