PLTA Members Therapists Directory Changes

Please only fill in areas you want to change. Your updates will be published once checked by us.

Membership Directory Changes

Name

Contact No.

Website Address

Email Address

Practice Address(s) (What you wish to have shown in the directory)

Enter the details for your web site Directory. Up to 100 words (for examples please see the Directory)

Please list your Qualifications

Memberships to other Associations

I have read and agree to abide by the Associations Code of Conduct and Terms and Conditions I have read and agree to abide by the Associations Code of Conduct and Terms and Conditions Yes

8 + 3 =

Once you press the button on the form you will be taken to our payment page.

Please send copies of your Hypnotherapy and/or Past Life Therapy Qualifications and a photo of yourself (if desired) via email attachment HERE.

This is a mandatory requirement, applications will not be considered without this. Not required for previous PLTA students