JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
HANS Professional Membership
HANS Practitioner Membership (registered herbal practitioner) $100.00
One-time administration fee (non-refundable) $45.00
Annual Membership runs from July 1 to June 30 each year.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
Your answer
I agree to being added to the HANS mailing list
*
Yes
No
Phone number
Your answer
Which position(s) are you interested in?
*
Professional Membership
Associate Membership
Making a Donation
Other:
Required
Please note there is a fee for each membership, your application will be reviewed and an email with a link to pay will be sent to you within 7 Business days.
If any members have any questions please email:
herbalassociationns@gmail.com
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of SoCretia.
Report Abuse
Forms