Membership Information 

To join Section VII, mail in this application page. If you have questions about Section VII or want more information, send e-mail to Lillian M. Range, Ph.D.

To join the Clinical Emergencies and Crises listserver (open to all) send an e-mail message stating SUBSCRIBE EMERGENCY-PSYCH (YOUR NAME) in the body of the message to the following address: Shortly thereafter, you will receive confirmation and instructions for participating on the list.

New Member Application Section VII of Division 12

Please print the following information:

Name: _______________________________________________________________________

Address: _____________________________________________________________________



Phone: ______________________________________________________________________

Fax: _________________________________________________________________________

E-mail: ______________________________________________________________________

Membership Category (Check one:)

______Divisional (Member of APA and Division 12)
______Affiliate (Member of APA, but not of Division 12)
______Associate (Not a Member of APA)
______Graduate Student

Member Dues (one year):          $25
Member Dues (two years):        $45
Graduate Student Dues:            $10                              

Amount Enclosed $___________

Signature: _____________________________________________

Please make check payable to: Section VII-Clinical Emergencies & Crises

Mail this form with your payment to:

Lillian M. Range, Ph.D., Professor
Our Lady of Holy Cross College
4123 Woodland Drive
New Orleans, LA 70131
Tel: (504) 398-2114

____I am interested in serving on committees or in other activities.

©2001 APA Division 12 Section VII