AAPNA Corporate / School Membership Application / Renewal

Ayurvedic schools and businesses interested in joining AAPNA, 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.

Corporation / School Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Primary Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Day Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Mobile Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Referred by {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Please attach your logo here (.jpeg, .gif or .png) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Please attach a copy of your documents of incorporation. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

SELECT THE APPROPRIATE MEMBERSHIP

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

Membership Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Membership Term {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{{ ['2 Years - $400.00','5 Years - $800.00','10 Years - $1,200.00'][$index] }}

May AAPNA share your contact information with other ayurvedic resource groups? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Agreement of Understanding Regarding Membership {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

{~ Payment_Block_Label}

{binding Group}
{binding Name} - {binding Description}	{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}	{binding displayValue}
{binding Name}:	{binding displayValue}	---

{{ Cognito.resources['payment-amount-due'] + ":" }} {binding displayValue}

AAPNA Corporate / School Membership Application / Renewal

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}

{{ Cognito.resources['order-date-label'] }}: {binding displayValue}

{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}

{binding BillingName}

{binding BillingAddress.FullInternationalAddress}

{binding PhoneNumber}

{binding EmailAddress}

{binding Group}
{binding Name} - {binding Description}	{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}	{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}
{{ Cognito.resources['order-amount-paid'] }}:	({binding displayValue})
{{ Cognito.resources['order-balance-due-label'] }}:	{binding displayValue}

Corporation / School Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Primary Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Day Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Mobile Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Referred by {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please attach your logo here (.jpeg, .gif or .png) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Please attach a copy of your documents of incorporation. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

SELECT THE APPROPRIATE MEMBERSHIP

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

Membership Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Membership Term {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

May AAPNA share your contact information with other ayurvedic resource groups? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Agreement of Understanding Regarding Membership {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

AAPNA Corporate / School Membership Application / Renewal

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}

{{ Cognito.resources['order-date-label'] }}: {binding displayValue}

{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}

{binding BillingName}

{binding BillingAddress.FullInternationalAddress}

{binding PhoneNumber}

{binding EmailAddress}

{binding Group}
{binding Name} - {binding Description}	{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}	{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}
{{ Cognito.resources['order-amount-paid'] }}:	({binding displayValue})
{{ Cognito.resources['order-balance-due-label'] }}:	{binding displayValue}

Corporation / School Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Primary Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Day Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Mobile Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Referred by {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please attach your logo here (.jpeg, .gif or .png) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Please attach a copy of your documents of incorporation. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

SELECT THE APPROPRIATE MEMBERSHIP

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

Membership Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Membership Term {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

May AAPNA share your contact information with other ayurvedic resource groups? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Agreement of Understanding Regarding Membership {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

AAPNA Corporate / School Membership Application / Renewal

{~ Payment_Block_Label}

AAPNA Corporate / School Membership Application / Renewal

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-billing-info-header'] }}

AAPNA Corporate / School Membership Application / Renewal

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-billing-info-header'] }}