Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
2013 NAHA Membership Application

2013 NAHA Membership Application

Ratings: (0)|Views: 370|Likes:
Published by NAHAAdmin
NAHA's Membership Application for 2013. Join us today!
NAHA's Membership Application for 2013. Join us today!

More info:

Categories:Types, Brochures
Published by: NAHAAdmin on Feb 06, 2013
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

02/06/2013

pdf

text

original

 
National Association for Holistic AromatherapyMembership Application
Please Print or Type. Incomplete forms will delay processing of application.
Name:
______________________________________________________________________
Business Name:
______________________________________________________________
Mailing Address:
______________________________________________________________
City:
_______________________________
State:
_________
Zip:
______________
Email:
______________________________________________________________________
Website:
____________________________________________________________________
Contact Numbers:
Please indicate by marking an 
ʻ
X
ʼ
 
next to numbers available to the public.
Home:
____________________________Public: ____
Business:
_________________________Public:____
Mobile:
___________________________ Public: ____
Fax:
______________________________Public:____
I am a Licensed Practitioner:
(Check each applicable profession)
___Acupuncturist ___Massage Therapist ___Medical Doctor ___Naturopath ___Nurse___Other: _________________________*****I Was Referred By: ___________________________________________________
Memberships:
Business applicants must submit typed description of business along withwebsite details. Professional member applicants must submit a copy of applicablearomatherapy certificates/training for NAHA review. All applications (except Friend membership)are subject to review and acceptance. We will notify you if we need further details or havequestions about your application. If for any reason your application is not approved and youhave prepaid through paypal, we will refund all money immediately.
___New Membership ___Renewal ___Upgrade ___Change/Addition of info. onlyMembership Type:
______
Friend:
$50 •
International:
$75 ______
Professional:
$125 •
International:
$155______
Business:
$150 •
International:
$180 ______
Donor:
$250 •
International:
$300______
Grand Donor:
$1000 or more
 
NOTE:
Professional Member Applicants:
 
I understand that my membership will onlybecome valid after I mail, email, or fax the following requirements:Have attended and graduated from Aromatherapy Training Program, minimum 200hours: You must submit either a certificate from school or transcripts that reflectsuccessful completion of training requirements for Level Two Certification.
or 
 Have proof of 4 years direct experience and education in the theory and practice ofaromatherapy. You must submit documentation of experience over 4 years as well aseducation received during that time period.
or 
 Have successfully passed theARC National Exam.You must submit certificate ofsuccessful completion of ARC exam.Complete and mail/fax or email your membership application.Description of
 
your
 
professional aromatherapy practice
 
must accompany the NAHAMembership ApplicationAll Professional applications are subject to review and acceptance. We will notify you if we needfurther details or have questions about your application. If for any reason your application is notapproved and you have prepaid through paypal, we will refund all money immediately.
Business Member Applications:
I understand that my membership will only become valid after I mail, email, or fax the followingrequirements:A typed description of business along with website details.All Professional applications are subject to review and acceptance. We will notify you if we needfurther details or have questions about your application. If for any reason your application is notapproved and you have prepaid through paypal, we will refund all money immediately.
All Members:
I agree that I do not apply or promote any techniques considered to be unsafe use of essentialoils which includes: RDT and other undiluted 'oil drop' techniques, or anything out of my scopeof practice.I have readNAHA
ʼ
s Code of Ethicsand agree to abide by them.
Required Member Signature:
(required)
___________________________
Date:
_________________
By signing this application form, you agree to the NAHA Membership Guidelines andRequirements as outlined on the NAHA website.

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->