APPLICATION FOR RMTA MEMBERSHIP
Rhythmical Massage Therapy Association of North America
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____ $35 Membership Dues for RMTA of NA

____ $85 Membership Dues includes membership in Artemisia, The Association for the Anthroposophical Renewal of Healing.

___ Donations accepted. Supports conferences, travel fund and other expenses.

Name: _____________________________

Profession: ___________________________

Mailing Address: ________________________________

City: ___________________________ State: _________

Zip/Postal Code: ______________ Country: __________

Home Phone: ___________________________________

Business/Work Phone: __________________ Ext.______ Fax: _________________

E-mail: __________________

Please make checks payable to RMTA of N.A. and mail your membership application with payment to:

RMTA of NA
c/o Donna Coty
PO Box 178
Hancock, NH 03449

If you have any questions, please call Donna at (603) 525-4763.