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(optional)Preferred Contact Method(s) (optional) Phone E-mail Text Message Additional information Business Name (optional) Business Address (optional) Apartment, suite, unit, etc. (optional) Business City (optional) Business State (optional)AlaskaAlabamaArizonaArkansaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Business Zip Code (optional) Business Email (optional) Business Phone (optional) Cell Phone # (optional) Company URL (optional) License # (If student please put 'Student', if Associate please put 'Associate') (optional) License Date (optional) NCCAOM # (optional) NCCAOM Type (optional) Primary Specialty (optional)NoneAcupunctureAllergies/ImmunologyAlternative Energy WorkBody Work/MassageChiropracticCosmeticDermatologyDigestive DisordersEndocrinologyFamily PracticeGeneral PracticeGeriatricsHeadachesHerbal MedicineHIV/AIDSInternal MedicineJapanese AcupunctureMen's HealthMental HealthNeurologyNeuropathyOncologyOrthopedicsPain ManagementPediatricsPhysical RehabilitationPsycho-EmotionalReproductive HealthRespiratory HealthSensory SensitivityStroke RehabilitationSupplementsVisionWeight LossWomen’s Health Secondary Specialty (optional)NoneAcupunctureAllergies/ImmunologyAlternative Energy WorkBody Work/MassageChiropracticCosmeticDermatologyDigestive DisordersEndocrinologyFamily PracticeGeneral PracticeGeriatricsHeadachesHerbal MedicineHIV/AIDSInternal MedicineJapanese AcupunctureMen's HealthMental HealthNeurologyNeuropathyOncologyOrthopedicsPain ManagementPediatricsPhysical RehabilitationPsycho-EmotionalReproductive HealthRespiratory HealthSensory SensitivityStroke RehabilitationSupplementsVisionWeight LossWomen's Health Tertiary Specialty (optional)NoneAcupunctureAllergies/ImmunologyAlternative Energy WorkBody Work/MassageChiropracticCosmeticDermatologyDigestive DisordersEndocrinologyFamily PracticeGeneral PracticeGeriatricsHeadachesHerbal MedicineHIV/AIDSInternal MedicineJapanese AcupunctureMen's HealthMental HealthNeurologyNeuropathyOncologyOrthopedicsPain ManagementPediatricsPhysical RehabilitationPsycho-EmotionalReproductive HealthRespiratory HealthSensory SensitivityStroke RehabilitationSupplementsVisionWeight LossWomen's Health Your order Product Subtotal Professional Silver Membership: Yearly Renewal × 1 $500.00 / year Subtotal $500.00 Total $500.00 Recurring totals Subtotal $500.00 / year Recurring total $500.00 / yearFirst renewal: January 13, 2026 Make a Donation at Checkout Make a Donation to the Association with your order! --Please select-- 5.00 10.00 25.00 50.00 100.00 250.00 500.00 Other Make Recurring every every 2nd every 3rd every 4th every 5th every 6th dayweekmonthyear Do not stop until cancelled 1 day 2 days 3 days 4 days 5 days 6 days 7 days 8 days 9 days 10 days 11 days 12 days 13 days 14 days 15 days 16 days 17 days 18 days 19 days 20 days 21 days 22 days 23 days 24 days 25 days 26 days 27 days 28 days 29 days 30 days 31 days 32 days 33 days 34 days 35 days 36 days 37 days 38 days 39 days 40 days 41 days 42 days 43 days 44 days 45 days 46 days 47 days 48 days 49 days 50 days 51 days 52 days 53 days 54 days 55 days 56 days 57 days 58 days 59 days 60 days 61 days 62 days 63 days 64 days 65 days 66 days 67 days 68 days 69 days 70 days 71 days 72 days 73 days 74 days 75 days 76 days 77 days 78 days 79 days 80 days 81 days 82 days 83 days 84 days 85 days 86 days 87 days 88 days 89 days 90 days Add to your Order! 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