Christian Physical Therapists International

CPTI Contact Information

Contact CPTI

PO Box 247
Maple Shade, NJ 08052

Phone:800-248-CPTI

Membership Application

Bold items are required to process your application

Name
	Students, please use your home address.
Address
Address 2
City
State
Postal (ZIP) Code
Home Phone
Business Phone
Fax
E-Mail
Birthday


Membership Type	1st Time Renewing
Membership costs $36 annually Payment options: PayPal (How?) Call us for arrangements
Newsletter Delivery Preference	E-mail Postal Mail
Occupation	PT PTA PT Student PTA Student Other:
Sponsor another membership	Yes Amount $ Help a fellow therapist to join CPTI
Armlifters Ministry	Yes Commit to pray regularly for CPTI Contribute additional $10 monthly Receive a monthly prayer update

By submitting a membership application, you are agreeing to the CPTI Statement of Faith.

Having trouble submitting? Click here for a printable application.
Print it, fill it out, and then mail it in with your payment.