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Registration Application and Fee Payment:
9201 Edgeworth Drive - Post Office Box 5631 Capital Hights, Maryland 20791-5631 Main: 757-292-7710 Web: http://aihcp-norfolkva.org Email: adm@aihcp-norfolkva.org Directions For Registration and Enrollment: An Adobe PDF Membership Application Form can be obtained by utilizing the following procedures. You will need a PDF reader such as Adobe Acrobat Reader which is available free from Adobe. If you do not have Acrobat Reaer, click here  to access the Adobe site.
Click here to get the Application for Membership form. The Adobe PDF file should open a new window. Complete the form in the window. (Start in the date field. Use your tab key to move to the next field.) OR Print the form for completion manually. (Four-Five pages) Check all information for accuracy. Print it. Be sure to close the window where the form is located after you print it. Send your completed, signed application and referances (Personal and Professional) with required fees (Money Order only) or (Pay online as noted below) with your most current Resume and Copy of earned credentials. To Pay On Line: Scroll down this page until you see your desired membership classification. Click on the Payment Logo.(Full Payment is required at enrollment, unless a deferrment is authorized) Follow the instructions for the Secure Payment Gateway at PAYPAL BANK. All PAYMENTS ARE PROCESSED BY PAYPAL, a F.D.I.C. INSURED BANK, NOT affiliated with this ASSOCIATION. NOTE YOUR RECEIPT or TRANSACTION NUMBER ON PAGE ONE OF THE MEMBERSHIP APPLICATION FORM. Located at the bottom on the left. (The First Box With the symbol R#) Do Not Send Your Receipt. Mail your original printed application form with supporting documents(Copies only) to the Post Office Address noted on the application form. The Membership Services Department will mail an Acknowledgement Letter within 48 hours of receipt in our offices. PayPal Secured Bank Card Payment Gateway System. This transaction uses SSL encryption secured for your security and protection. The Annual New/Renewal Membership Processing fee $75.00 is included in the Paypal quotation. Deferred Payment Request made in writing, allows four (4) equal monthly payments of the account balance. (Applicable Processing Fee and First month membership fee is required in advance.) A Deferred Payment Fee of $5.00 each month or part there of is applied to the outstanding account balance monthly and is billed seperately as a service fee. Scroll down to find your Enrollment Classification, then click the corresponding PayPal Logo for Secure Web Payment. Philanthropic Contrabution: Philanthropic Member: Collegiate Institution Membership: Collegiate Member: Integrative Health Care Medical Facility Membership: Medical - Clinical Facility Member: Professional Health Care Medical Practitioner Membership: Professional Medical Practitioner Member: Allied Health Care Practitioner Membership: Allied Health Care Practitioner Member: Herbalist / Herbal Pharmacy Membership: Herbalist Member: Retired Practitioner Membership: Retired Practitioner Member: Student of Natural Health Science Membership: Student Member: Integrative Health Care Administrator Membership: Administrator of Integrative Programs Member: Integrative Health Care Educator Membership: Educator of Integrative Health Care Science Member: Distributor of Natural / Wellness Products Membership: Distributor of Natural Health Products Member: Miscellaneous payments: Click the above logo to pledge a charitable gift to A.I.H.C.P. Cancellations and Refunds: All requests for consideration by the Association for Integrative Health Care Practitioners are immediately processed. Therefore, candidates must notify the registrar in writing of an interest to withdrawl from consideration within three business days after the initial application and credentials submission. The Association For Integrative Health Care Practitioners will refund your full payment minus $75.00, which constitutes the administrative cost of handling your request for consideration. Refunds take approximately Two - three weeks to process after the registrar receives your written request for cancellation. In the event, the Review Board denies your request for consideration the above noted refund policy applies. |
