Wisconsin Batterers Treatment Providers Association Membership Application

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This application and checklist are for individuals or agencies who are prospective members. (This application and checklist are also required if membership has lapsed.) Please submit the completed application and the completed checklist by mail to: WCADV, Attn: WBTPA, 307 S. Paterson Street, Suite 1, Madison, WI 53703.

Note: Renewal applications will be emailed to current members before the end of the membership year (which runs from May 1 - April 30). Any currently active member may also request a renewal application at any time during the membership year. Just click to email the request.

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Wisconsin Coalition Against Domestic Violence
307 S. Paterson Street, Suite 1 | Madison, Wisconsin 53703-3517Phone: (608) 255-0539 | Fax/TTY: (608) 255-3560 | wcadv@wcadv.org

EQUAL OPPORTUNITY AND LIMITED ENGLISH PROFICIENCY POLICY
The Wisconsin Coalition Against Domestic Violence (WCADV) is an Equal Opportunity Employer and Service Provider. WCADV does not discriminate on the basis of race, religion, color, disability, gender, sexual orientation, age or national origin. Free interpreter services are provided for people who are deaf or hard of hearing or who need language assistance to access services from the agency. These services are available by phone or in person. Privacy Policy

Wisconsin Batterers Treatment Providers Association Membership Application

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