Supporting Member Form

Please fill in the information to the best of your ability and click "submit" when you're finished.
Name(required)
Buisness Name (if applicable)
Email(valid email required)
Website
Address
Phone(required)
Other Phone
Business Phone
How did you learn about this organization?
Why are you interested in joining SSHN as a supporting member?
2012-13 ANNUAL SUPPORTING MEMBERSHIP FEE - $50
You can mail your check payable to SSHN at:
South Sound Healers Network
PMB# 326
15127 Main Street E., Ste. 104
Sumner, WA 98390
If you have any questions, please email us.
Thank you for your interest in joining the South Sound Healers Network!
Tell a Friend about the South Sound Healers Network! (not required)
Your Name
Your Email(valid email required)
Friend's Name
Friend's Email(valid email required)
If you are finished with your application please click the "submit" button below

If you would like to pay via PayPal or credit card click on the button below

South Sound Healers Network