AAPNA Professional Membership Application / Renewal

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Please fill out the membership application below. Please be sure to fill in all the * required fields. Once you fill and submit the form, continue to your payment.

Name

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Title

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Address

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Day Phone

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Mobile Phone

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Website

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Referred by

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Please attach a photo of yourself. (.jpeg, .gif or .png)

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Please attach a copy of your degree / diploma / certificate

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Please attach a copy of any additional degree / diploma / certificate (.jpeg, .gif or .png)

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Please attach a copy of any additional degree / diploma / certificate

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Please attach a copy of any additional degree / diploma / certificate

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Please attach a letter of reference from an individual familiar with your practice in your country (.pdf)

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SELECT THE APPROPRIATE MEMBERSHIP

Members who register for 10 years are AAPNA Ambassadors and will receive an additional certificate indicating so.

Student / General Member (Supporter)

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Ayurvedic Lifestyle Consultant

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Ayurvedic Practitioner

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Vaidya / Ayurvedic Doctor (B.A.M.S. & Higher)

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SELECT THE APPROPRIATE SPECIALIZATIONS

Minimum Prerequisite - Ayurvedic Lifestyle Consultant

Ayurvedic Food & Nutrition Consultant (A.F.N.C.)

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Panchakarma / Marma Technician (P.M.T.)

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Ayurvedic Yoga Therapist (A.Y.T.)

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Ayurvedic Herbal Pharmacist (A.H.P.)

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Ayurvedic Psychology Consultant (A.P.C.)

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Ayurvedic Beauty & Spa Consultant (A.B.S.C.)

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Vedic Vastu Consultant (V.V.C.)

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Vedic Astrology Consultant (V.A.C.)

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Meditation & Spirituality Instructor (M.S.I.)

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Professional Ayurvedic Continuing Education (P.A.C.E.) Provider

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Agreement of Understanding Regarding P.A.C.E. (Professional Ayurvedic Continuing Education) Providers' Code of Conduct and Membership

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Agreement of Understanding Regarding Code of Conduct and Membership

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May AAPNA share your contact information with other ayurvedic resource groups?

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Agreement of Understanding Regarding Membership

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AAPNA Professional Membership Application / Renewal

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AAPNA Professional Membership Application / Renewal

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AAPNA Professional Membership Application / Renewal

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