IACP OFFICERS
Honorary President
Aaron T. Beck, PhD
President
Lata K. McGinn, PhD
President-Elect
Stefan Hofmann, PhD
Past-President
Keith Dobson, PhD
Secretary/Treasurer
Sharon Freeman Clevenger, MSN,
MA, PMHCNS-BC
Representatives-at-large
Lynn McFarr, PhD
Frank Dattilio, PhD
International Delegate
Mehmet Sungur, PhD
Journal Editor
John Riskind, PhD
International Journal of
Cognitive Therapy
Newsletter Editor
Simon A. Rego, PsyD
Cognitive Therapy
Membership Office Chair
Sharon Freeman Clevenger, MSN,
MA, PMHCNS-BC
ADDRESSES :
International Association of
Cognitive Psychotherapy c/o Sharon Freeman Clevenger
423 Airport North Office Park
Fort Wayne, IN USA 46825
United States of America
Tel: (260) 969 5583
Fax: (260) 969-5584
Email: iacpmembership@yahoo.com
Dear Organization Leader,
The International Association for Cognitive Psychotherapy (IACP) is a world leader in membership-based cognitive and cognitive-behavioral therapy associations.
Membership in the IACP is open, but not limited to professionals and students in disciplines such as psychology, psychiatry, social work, medicine, nursing, dentistry, rehabilitation, guidance, pastoral counseling, general medical practice, counseling and education.
The organizational membership fee is $400.00 per year. By joining, your organization will get visibility, and as the president you will receive all the benefits of an individual member including the 10% ICCP registration discount in 2014 in Hong Kong as well as free online access to our journal (see details below). In addition, your organization's individual members will also be able to join IACP for a discounted rate of $65.00 dollars
(instead of $75.00) and this way, they will also receive the 10% discount for the ICCP congress in Hong Kong (Wing is offering AACP a 5% discount to AACBT but by joining
IACP, your members will receive a 10% discount).
Organizational Benefits are:
1) Organization will be listed on our website with a link to their home page
2) One online access to the IJCT and all other individual member benefits for the president
3) Provides the Organization with the ability to offer their own members added benefits without incurring additional costs
4) Provides the organization the option to post for open positions and other offerings by their organization through our website
5) Members of the organization qualify for a discounted individual IACP membership fee of $65 (reduced from $75) and receive all the individual member benefits including free online access to our journal, registration discounts and more.
Please visit our website at www.the-iacp.com to learn more about IACP and how it can
benefit you.
Sincerely,
Lata K. McGinn
Lata K. McGinn, Ph.D.
President, International Association of Cognitive Psychotherapy (IACP)

To join visit http://www.the-iacp.com
Or complete below and send in via fax or mail
ORGANIZATIONAL INFORMATION
Organization Name __________________________________________________
Leader Name _______________________________________________________
Address ___________________________________________________________
Address ___________________________________________________________
City _____________________ State ____________ Country ____________Zip Code ___________
Phone Number _____________________________
Fax Number ____________________________________
Email Address __________________________________
Website _______________________________________
Number of members ____________________
MEMBERSHIP TYPE
Check One : New Member  Renewal 
 Organizational Membership $400.00

Please include your organizations bylaws as well as a list of all the organizations members with their contact information
ONLINE CLINICAL REFERRAL DIRECTORY
 please indicate address to be listed
Address: ___________________________________
City: ______________________________________
State/Postal Code: ___________________________
Country: ___________________________________
Email: _____________________________________
Tel: _______________________________________
Fax: _______________________________________
BILLING INFORMATION
Credit Card Type (circle one): Visa MasterCard American Express Discover
Account Number: _____________________________________
Expiration Date: (Month/Year) ___________________________
Exact Name on Card: __________________________________
Signature: ___________________________________________
Billing Address:
( check here if your billing and member information address are the same)

Street: ______________________________________
City: _______________________________________________
State/Postal Code: _____________________________________
Please mail or fax your completed application form to:
Membership Office
Sharon Freeman Clevenger, MSN, MA, PMHCNS-BC
C/o Indiana Center for Cognitive Behavior Therapy
423 Airport North Office Park
Fort Wayne, IN 46825
Tel: (260) 969 5583
Fax: (260) 969 5584
Email: iacpmembership@yahoo.com
www.the-iacp.com