Membership Form Thank you for choosing to become a member of WIHHA. We value your membership. Please complete the information below to be added to the Practitioner Directory or to enroll as a Group member. If you have any questions about your membership or directory listing you are welcome to call us at (360) 929-7136 or email us at: WIHHAmail@gmail.com. Contact InformationThe information contained in this section is used for membership purposes only and will not be shared or used for any other purposes.Name* First Last Email Address Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number* Alternate Phone Number Membership ChoicesType of Membership:* Professional Membership Group Membership Click on each membership type for more information and fees.Professional Membership As a Professional member you receive one listing in our Practitioner Directory on our website for one year, the opportunity to present and participate in WIHHA events, lectures and classes, the option to purchase an ad on the website, and a vote to decide the direction and actions of WIHHA in the future. Professional membership is $50.00 per year.Group Membership A professional practice can become a Group member with the following conditions. At least one member of the practice must be an individual WIHHA member. The group will have a single profile page, where they can list their practitioners, etc. WIHHA members will be highlighted on this page. Groups can participate as a member in WIHHA-sponsored community and networking events, such as potlucks and fairs. They cannot give talks. They will not have voting rights. Group membership is $50.00 per year.Directory InformationPractitioner Name First Last Licenses or Degrees Ex: PhD, RN, LMP.Business Name Email Address Phone Alternate Phone Website Additional Website DescriptionProvide a brief description of the services you offer.Upload PhotoAccepted file types: jpg, jpeg, png, gif.FileTitleLocationBayviewClintonCoupevilleFreelandGreenbankLangleyOak HarborTo select more than one location, CONTROL-Click on a PC or COMMAND-Click on a Mac.Primary Modality-- select a Modality --AcupressureAcupuncture / Traditional Chinese MedicineAnimal CareAromatherapy & Essential OilsArvigo Techniques™Arvigo Therapy™AyurvedaBiomagneticsBodyworkChi Nei TsangChiropracticCoaching and CounselingCoaching/Mentoring & CounselingColon HydrotherapyCranioSacral TherapyEcotherapyEFTFeldenkrais ®Feng ShuiFunctional FitnessFunctional Strength TrainingGuided Self-TherapyHCG Fat LossHolistic Business ServicesHomeopathyHypnotherapyIntegrative / Holistic MedicineIntuitive GuidanceLymph Drainage/LymphedemaLymphedema TherapyMassage TherapyMedical ThermographyMeditation and BreathworkMedium/ChannelMystic/ChannelNaturopathic MedicineNutritional TherapyPhysical TherapyPsychicQiGongReConnective TherapyReflexologyReikiRolfingShamanic PractitionerSound HealingSpeech TherapySpiritual Energy HealingStory Arts Coaching & HealingStress & Trauma ReleaseStructural IntegrationT'ai ChiT'ai Chi & QigongTherapeutic Touch ℠ThetaHealingTransformational BreathworkVisceral ManipulationWellness ProductsYogaZero Balancing*Primary modality is included with membership.Additional ModalitiesAcupressureAcupuncture / Traditional Chinese MedicineAnimal CareAromatherapy & Essential OilsArvigo Techniques™Arvigo Therapy™AyurvedaBiomagneticsBodyworkChi Nei TsangChiropracticCoaching and CounselingCoaching/Mentoring & CounselingColon HydrotherapyCranioSacral TherapyEcotherapyEFTFeldenkrais ®Feng ShuiFunctional FitnessFunctional Strength TrainingGuided Self-TherapyHCG Fat LossHolistic Business ServicesHomeopathyHypnotherapyIntegrative / Holistic MedicineIntuitive GuidanceLymph Drainage/LymphedemaLymphedema TherapyMassage TherapyMedical ThermographyMeditation and BreathworkMedium/ChannelMystic/ChannelNaturopathic MedicineNutritional TherapyPhysical TherapyPsychicQiGongReConnective TherapyReflexologyReikiRolfingShamanic PractitionerSound HealingSpeech TherapySpiritual Energy HealingStory Arts Coaching & HealingStress & Trauma ReleaseStructural IntegrationT'ai ChiT'ai Chi & QigongTherapeutic Touch ℠ThetaHealingTransformational BreathworkVisceral ManipulationWellness ProductsYogaZero Balancing*Additional modalities are $5.00 each. To select more than one modality, CONTROL-Click on a PC or COMMAND-Click on a Mac.EnrollmentTo complete your membership enrollment, print, sign, and mail the Code of Ethics to the address below. You can pay online or mail a check made out to Whidbey Island Holistic Health Association to:: Karen Carbone PO Box 1384 Freeland, WA 98249
