Application form for Membership

Name and Title*
Company Name (if applicable)
Address
City
Province/State
Postal/Zip Code
Phone*
E-mail*
General Name/Title of Healing Art(s):
My mission statement is as follows:


I have read the Guidelines, the Professional Ethics, and the Goals of the Association.

If you'd prefer to print a pdf version of this form and mail it to us, click here.

Membership fee is $80 starting January 2010 to December 31, 2010.

Please make out cheque to the Healing Arts Association of the Okanagan and mail to:

Healing Arts Association
105-2411 Hwy 6
Vernon, BC
V1T 5G4