|
|
ACTA Membership Application
 format for printer
To become an ACTA member, please print this page; mail or fax the completed form along with your dues to the ACT Association as indicated on the form. Your paid membership will allow you to register for the conference at reduced rates, and provide support for the association to carry forth it's mission of promoting quality ACT services. Thank you.
ACTA
Assertive Community Treatment Association, Inc.
810 E. Grand River Ave., Suite 102
Brighton, Michigan 48116
P: (810) 227-1859
F: (810) 227-5785
acta@actassociation.org
Name______________________________________________________________________
Title_______________________________________________________________________
Organization_________________________________________________________________
Address____________________________________________________________________
City______________________________________________________________________
State______________________________________________________________________
Zip_______________________________________________________________________
Phone_____________________________________________________________________
Fax_______________________________________________________________________
Email______________________________________________________________________
Annual Membership Fee:
Individual Members $35.00
Non-Profit Agency $150.00
For-Profit Agency $375.00
|
Make Checks Payable To:
ACT Association
810 E. Grand River Ave., Ste. 102
Brighton, MI 48116
|
Mastercard#___________________________________________________________
VISA#_________________________________________________________________
American Express#_____________________________________________________
Discover#_____________________________________________________________
Expiration Date:_________________________________
Signature:______________________________________
New Member________________________________________
Renew Membership________________________________
JOIN THE ACT ASSOCIATION OR RENEW YOUR MEMBERSHIP TODAY AND SAVE ON FUTURE CONFERENCE REGISTRATION FEES
|
Recent Updates
2008 ACT
Conference: 
The 24th Annual ACT Conference will be held at the Hyatt Regency Hotel in Indianapolis, Indiana May 14-16, 2008. Click here for the complete ACT Conference Brochure, which contains all the conference and registration information. We hope you join us in May for what we believe will be another great ACT Conference!
See you in Indianapolis!
2007-2008 ACTA Trainings:
The ACT Association is again pleased to present a variety of trainings for ACT workers. Please visit the Training page to view the complete training calendar. ACT Association trainings are supported by block grant funds from the Substance Abuse and Mental Health Services Administration, through the Michigan Department of Community Health. These trainings are free for all Michigan ACT providers; others may attend for a fee, please contact the ACT Association.
Address
The ACT Association
Suite 102
810 E. Grand River Ave.
Brighton, MI 48116
Other Contact Information:
Phone: 810.227.1859
Fax: 810.227.5785
acta@actassociation.org
|
