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AAPA FULL & STUDENT Membership Application Form 2007-2008 - Print and Return to the AAPA

PERSONAL DETAILS NAME:............................................................... ADDRESS.......................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... TEL NO:............................................................. MOBILE:............................................................ E MAIL ADDRESS:...........................................	THERAPIES PRACTISED I AM QUALIFIED / STUDYING TO PRACTISE: 1........................................................................... 2............................................................................ 3............................................................................ 4............................................................................ 5............................................................................ 6............................................................................ Enclose copies of all certificates I have / I need insurance
BUSINESS DETAILS TRADE NAME:................................................ ADDRESS*(see bottom right of form) ........................................................................... ........................................................................... ........................................................................... ........................................................................... TEL NO:............................................................. MOBILE:............................................................ EMAILADDRESS:........................................……	College(s)where Study was or is being undertaken for therapies above: 1........................................................................... 2............................................................................ 3............................................................................ 4............................................................................ 5............................................................................ 6............................................................................ 7...........................................................................
FEE ENCLOSED (please circle or complete) The AAPA year runs from Oct 1st to Sept. 30th Whole year membership……………£50.00 This includes 1 AAPA Badge. Add £3.00 for an additional badge Or £4.50 per month from December onwards Membership INCLUDES:Aromatherapy - MAAPA Massage - MAAPA Hypnotherapy MAAPA Plus any ancillary qualifications when combined with one of the above) 1 Additional AAPA Badge £3.00 (FULL MEMBERS ONLY) FEE FOR STUDENT MEMBERSHIP IS £10.00 A YEAR	WEBPAGE DETAILS I wish the following details placed on the AAPA Members webpage NAME:........................................................... AREA COVERED OR BUSINESS ADDRESS * (circle as appropriate and fill in area covered if circled)............................................................. ........................................................................ I HAVE A WEBPAGE TO WHICH I WOULD LIKE AN AAPA HYPERLINK: www.......................................................................
	NB We advise Members working from home to give telephone number and area covered only for security purposes
CHEQUE to AAPAAmount..................................(+ 1 additional badge add £3.00) MY APPLICATION IS FOR FULL / STUDENT MEMBERSHIP (latter cannot purchase badges) SIGNATURE...........................……….Date............………	AAPA BADGE Return to:AAPA PO Box 36248 London SE19 3YD