Mountain Healing Arts Association
P.O. Box 3840, Big Bear Lake, CA 92315
(888) 632-4966
info@MountainHealingArts.org

Membership Application

Please print form and mail to:

(Membership is for the calendar year)

$100 Professional Member
$50 after June 1st Professional Member

Name: _______________________________________________

Degree/License: _______________________________________

Title: ________________________________________________

Business name: _______________________________________

Services/Products: _____________________________________

_____________________________________________________

Mailing Address: _______________________________________

_____________________________________________________

Physical Address: ______________________________________

_____________________________________________________

Phone:(home): ________________________________________

           (busn): _________________________________________

           (cell): _________________________________________

Fax: _________________________________________________

Email: _______________________________________________

Website: _____________________________________________

Would you like to be s Speaker?    Yes _____   No _____

Would you be interested in serving on MHAA committees?   Yes _____  No ______

Please enclose check or money order made out to Mountain Healing Arts Association and mail to:

Mountain Healing Arts Association
P. O. Box 3840
Big Bear Lake, CA 92315

For more information call:
(888) 623-4966

Web site by The Abacus Group-Don Leighton
Photo by KerstPhoto