Private Membership Application
To apply for membership through Motion Health, PMA, please complete the following questions, sign, and remit payment. Once your application is processed, you will be provided a Membership Agreement form to complete. All forms must be complete in order to access your member benefits.
Street Address Line 2
State / Province
Postal / Zip Code
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Please read and check each box on the Statement of Understanding below.
I understand the electronic completion of this form is a submission of application to Motion Health, PMA, a private membership association dedicated to health, choice in healthcare, education, and research.
I understand that this application, payment, and a membership agreement must be completed in order to be a member of this association. I further understand that a membership agreement form will be sent to me for review, completion, and signature within 3-5 days of my application submission.
I understand that as a Private Membership Association, Motion Health, PMA and its members believe that the First Amendment of the Constitution of the United States of America guarantees members the right to gather together for the lawful purpose of advising and helping one another, and thus, our activities are restricted to private domain only. My signature below indicates that I submit this application of my own free will without any pressure or promise of cure or disease prevention.
I affirm that I do not represent any Local, State, or Federal agency whose purpose is to regulate and approve products, or to carry out any mission of enforcement, entrapment, or investigation.
I understand that I am required to pay an initial membership fee as part of this application, and again each year as an annual membership fee of $20 for individual membership or $25 for family membership.
Type of Membership
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Credit Card Details
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