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International* New Student Membership Form
* Rate is given base on US dollar versus your countries dollar as of Jan 1st. Please confirm that your country receives the international rate.
Student Membership in the Society of Ortho-Bionomy International includes the following benefits:
  • One year subscription to "Ortho-Bionomy News" the Society's quarterly newsletter.
  • The "Membership and Skills Directory" published yearly
  • Student Membership card which guarantees discounts on classes that you repeat (when available), discounts on services offered in the Membership and Skills Directory, and discounts on our Annual Conference registration fees.
  • Membership information including: articles, descriptions of courses and training programs, and other information helpful to your continued study and practice of Ortho-Bionomy.
Name :
Date :
Address :
City :
State/Province :
Zip/Postal Code :
Country :
Phone(Work) : 
E-mail :
Website :
Phone(Home) :
As a member, at any level, you may participate in our skills network which is included in our Membership and Skills Directory. If you would like to participate, please list any service (OTHER THAN ORTHO-BIONOMY) you would like to offer, including your regualr fee and/or discounts you would like to offer to other Society members below (25 work maximum please!):
Student Membership Fee: $36.00 USD (International rate)
INSTRUCTOR/COORDINATOR/ADVISOR: Please type the name of person who referred you:
Name:  
Please pay via Paypal. After you submit your form, click on the Paypal button that shows up on the Thank You page. If you wish to pay via check, please make your check or money order payable to The Society of Ortho-Bionomy International (U.S. Dollars). Please do not send cash. Your membership card and membership packet will be sent in the mail. Please allow for 6-8 weeks delivery.
 

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