Retail Membership Form

  1. Please fill in the information to the best of your ability and click "submit" when you're finished.
  2. If you would like to use your name as opposed to a business name, feel free to do so below
  3. (required)
  5. Would you like your contact person to be listed in the directory?
  7. (valid email required)
  9. (required)
  10. Would you like your address listed in the directory?
  12. (required)
  13. Would you like your phone number listed in the directory?

  17. Membership Information

  19. In your online directory entry we ask that you give us a photo of you or an image of your logo. The end image will be 100x100 square. If you don't know what that means, don't worry, we can edit it easily.
  23. Membership in South Sound Healers Network is open to all business persons who are committed to living the principles and values set forth in our mission: SSHN is a professional circle of holistic healers in the South Puget Sound region. We promote health and wellness in individuals and communities through education about natural healthcare and local resources. Acting as change agents, we envision preventive medicine as mainstream and encourage living in balance with nature. Our membership includes the diversity of many healing arts professionals. We provide support, networking and referrals for practitioners healing and strengthening our South Sound community.

    All applications for membership will be reviewed and SSHN reserves the right to refuse any application for any reason.

  24. RESPONSIBILITY OF MEMBERS

    * Willing to participate in creating a holistic community presence in this region.

    * Willing to contribute ideas, serve on committees and participate in events and activities whenever possible.

    * Commitment to the values, mission and purpose of SSHN.

    * Payment of yearly membership dues.

  25. Membership begins the month you join and goes until the next Membership Renewal Period. Membership Renewalls are on April 1st, 2013.


  26. I have read and agree to the responsibilities of membership in South Sound Healers Network:
  27. (required)
  28. (valid email required)
  29. You can mail your check payable to SSHN at:
    South Sound Healers Network
    PMB# 326
    15127 Main Street E., Ste. 104
    Sumner, WA 98390
  30. If you have any questions, please email us.
  31. Thank you for your interest in joining the South Sound Healers Network!
  32. Tell a Friend about the South Sound Healers Network! (not required)
  34. (valid email required)
  36. (valid email required)
  37. If you are finished with your application please click the "submit" button below
 

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If you would alternately like to purchase your membership by paypal or credit card please click the link below: