International True Colors Association

If you're already a True Colors Association member and need to renew your membership, please click here.

Member Information

First Name:

Last Name:

Title:

Employer:

Address:

City:

State (if in the US):

Province (outside the US):

Zip/Postal Code:

Country:

Telephone Number:

Fax Number:

E-Mail Address:

Website:

Brief Description of Your Organization/Responsibilities:

What's your color scheme?

Level of Certification:

PSS Facilitator

Advanced App Facilitator

PSS Trainer

Advanced App Trainer

Master Trainer

No Certification

Facilitator Since:

Reffered By:

Are you interested in becoming a mentor?

Yes

Maybe (Please contact me with more information.)

Organization Type:

Employer:

For-Profit Company

Government

Nonprofit

Other/Combination

Educational Institute:

Elementary

Middle

Secondary

2 Year

4 Year

Public or Private:

Public

Private

Membership Type:

New Member

Returning Member

Regular

Honorary (Not a certified Facilitator or Trainer)

Retired

Honorary Lifetime

Affiliate (Training completed but not yet Certified)

Organizational Membership Dues

Membership is valid for one year from date of registration approval.

Membership Dues:

$35.00 - One member

$100.00 (up to 4 members; $25.00 each additional member)

** Please submit an Application for each additional member so we will have contact information for all members.

Number of organizational memberships covered by this payment:

Organization Name:

Total Due:

Payment Method:

Check

Purchase order/check in progress (Organizational Memberships only)

PLEASE SEND PAYMENT TO:
True Colors Association PO BOX 992
Bellevue, WA 98009-0992

PLEASE MAKE CHECKS PAYABLE TO THE TRUE COLORS ASSOCIATION.
If you would prefer, we are now able to handle payments by major credit card OR through PAYPAL. After you submit your registration form, click on "Pay Now" next to the appropriate membership option. When you "Proceed to checkout," it will ask for your credit card or Paypal information. If you have a Paypal account, you can make a payment using the ITCA paypal email address: membershippayment@truecolorsassociation.org. This will allow you to pay your registration fee online directly out of your checking or savings account or with a credit card, depending on how you have set up your personal Paypal account.

Application for Membership in the ITCA

Member Information

Organization Type:

Organizational Membership Dues