Membership Registration Form – Postdoctoral Referral Service

Name *

First

Last

Home Address *

Home Phone or Cell Phone *

Office Address

Office Phone

Email *

There are currently 6 categories of Membership in the Society. Please check one *

Member: still only $125
New Graduates: (2023) Welcome to the Society! $0
Recent Graduate: (2016 or later): $75
Honorary Member: Special Category for Postdoc Director and Clinic Director: $0
Confidential category of hardship dues: $25
Candidate Member: $0

Membership Renewal *

I am enclosing $125 for my 2021 dues. Candidates during training may join the Society at no cost.
I will pay via Paypal. paypal.me/postdocpsychsociety
I understand my dues includes listing in the Society's Referral Service Directory at www.PsychologistSearch.org.
I would like to join a committee

Please click submit to send us this form electronically, or print and mail it to the address below: The Psychoanalytic Society c/o Helen Silverman, Treasurer 98 Riverside Drive #11F New York, NY 10024