The Aromatherapists Society

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MEMBERSHIP APPLICATION FORM

NAME:............................................................................................................................

ADDRESS:......................................................................................................................

.........................................................................................................................................

.................................................................. POSTCODE:................................................

TEL NO:..................................................

FAX NO:.......................................................

E MAIL ADDRESS:........................................................................................................

MEMBERSHIP FEES ENCLOSED: Please indicate.

I WISH TO BE INCLUDED FOR PUBLIC REFERRAL.. YES/NO

INITIAL REGISTRATION FEE ............................£5 .......YES/NO

ANNUAL FULL MEMBERSHIP FEE..................£30.......YES/NO

ANNUAL STUDENT MEMBERSHIP FEE .........£20 ......YES/NO

As a Member I agree to abide by the Constitution and the Society's Code of Conduct, Ethics and Practice.

I enclose a cheque for: £................. payable to The Aromatherapists Society.

SIGNATURE:........................................................DATE:..............................

Please send this form with your remittance to: The Aromatherapists Society, Coolins, Ardgay Hill, Ardgay, Sutherland, IV24 3DH. Scotland
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© The Aromatherapists Society 2002