
| Note: Your office address will be used for the AZRA / RAA online and print directory. Complete information as you would like it to appear. Check the following box if | |||
| you do not wish your name to be added to the directory. | |||
| AZRA New Renewal | RAA New Renewal | ||
| Professionsl Membership | Prorated Last 6 mo NEW Member only | |
| AZRA/RAA Professional Membership | $125 per year | |
| AZRA Professional Membership | $50 per year | $24 for January 1st - June 30th |
| RAA Professional Membership | $75 per year | $55 for January 1st - June 30th |
| ____Add - RAA Professional Website Page | $70 1st year ($35 after 1st) | |
| ____Add - RAA Reciprocal Web link | $15 per year |
| No. of Hrs Completed: | Date Of Completion: | ||
| Are you nationally certified by a non-profit reflexology certification board? Yes No | |||
| Certification# | |||
| Name / Address of Board: | |||
| AZRA New Renewal | RAA New Renewal |
| Associate Membership | Prorated Last 6 mo NEW Member only | |
| AZRA/RAA Associate Membership | $75 per year | |
| AZRA Associate Membership | $25 per year | $15 for January 1st - June 30th |
| RAA Associate Membership | $50 per year | $35 for January 1st - June 30th |
| ____Add - RAA Reciprocal web link | $15 1st year ($35 after 1st) |
| I want to ba an AZRA volunteer | Conference | Membership | Legislation | Education | Website | Research | PR | ||
| I want to ba an RAA volunteer | Magazine | Conference | Membership | Legislation | Education | Website | Research | PR |
