HTET Membership Form
Please fill in the information below, print out the page, and mail to:

 

Name:

Home Address:

City/State/Zip

Home Phone:

Cell Phone:

E-mail address:

Practice name or business:

Business Phone:

Business E-mail:

Web site:

Credentials:

 

Occupation/Interest/Skills:

 

Please check desired membership:

  • $35 Active Membership o
    Students, all practitioners of Healing Touch and/or HT Spiritual Ministry
  • $35 Associate Membership o
    Healthcare professionals or professionals in other fields that encourage the practice of Healing
    Touch in the medical community
  • $100 or more Honorary Membership o
    Supportive patrons, who may or may not be active practitioners, and have contributed $100 or
    more to HTET

Please check services commonly used in your work:

  • Healing Touch o
  • Healing Touch Spiritual Ministry o
  • Chiropractic o
  • Aromatherapy o
  • Massage o
  • Acupuncture o
  • Other:

Circle highest level HT completed:
Healing Touch Level 1   2   3   4   5  Other
Healing Touch Spiritual Minitry ___________

Preferred method of delivery of HTET newsletter. Circle one:
E-mail     U.S. Mail

Make checks payable to Healing Touch East Tennessee. Send form and checks to ???.