Thank you for joining RAC and supporting Reflexology! We will email you.

First Name * Last Name * Email * Mailing Address * City, State and Zip * Mobile Phone Date of Birth (full date or day & month only) Website

Do you want a listing in the online directory

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Practitioner Dues *

New Member or renewal, per year ($65 USD) New Member or Renewal, 2 years ($120 USD)

School Name and location Program Hours If you were referred, name of person who referred you:

Please verify: *

Proof of training emailed to RAC I meet the requirements for Practitioner member If any of the above is found incorrect, my membership can be denied

Signature * Date *

* indicates required fields