Wisconsin Batterers Treatment Providers Association Membership Application

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: End Domestic Abuse Wisconsin, Attn: WBTPA, 1245 E. Washington Avenue, Suite 150, 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.