Membership Application/Information and Dues Statement
Name: First Middle: Last:
Title: Professional Credentials:
Business Name if any
Address Suite:
City, State, Zip
Telephone Work Phone
E-mail Address Website
Area of Practice
Employer
How did you find out about ISSSEEM?
Professional or Associate Members $ 75.00
Professional or Associate International Members $84.00
Seniors, Students& Income Limited Members* $ 45.00 *Please provide copy of student I.D. or brief letter requesting seniors or limited income rate to comply with po licies.
Seniors, Students& Income Limited International Members* $ 54.00 *Please provide copy of student I.D. or brief letter requesting seniors or limited income rate to comply with po licies.
Institutional Members $200.00 (3 copies of each issue of Magazine and 2 of each issue of the Journal)
Institutional International Members $229.00 (3 copies of each issue of Magazine and 2 of each issue of the Journal)
Journal: Subtle Energies and Energy Medicine (3 issues per year)
Member Rate $ 50.00
Member International Rate $ 68.00
Nonmember Rate $ 60.00
Nonmember International Rate $ 78.00
No Thanks
