ISMETA Individual Registration Renewal

 

Contact Information

 

Name__________________________________________________________________

 

Address________________________________________________________________

 

Phone Number__________________________________________________________

 

Email__________________________________________________________________

 

 

Membership Fees (in US dollars)

 

Associate Member:               $65 for 1 year

 

RSME -or- RSMT:               $100 for 1 year

$170 for 2 years

$220 for 3 years

 

RSME -and- RSMT:             $170 for 1 year

                                                $290 for 2 years

                                                $400 for 3 years

 

 

 

Registration #:______________________

 

Registration #:______________________

Certificate                              $10 each (will reflect expiration of registration)

 

Payment can be made via personal check, money order or wire transfer.  Please contact the administrator for information on wire transfer, info@ismeta.org.

 

ISMETA 30 Morgan St., Holyoke, MA 01040 USA

 

Practitioner Profile

 

Please review your individual practitioner listing on the ISMETA website: http://www.ismeta.org/practitioners.html.

 

Changes in your profile?  Please list them here: