2023 Membership Application

2024 Membership Application

Thank you for joining or renewing your membership with the Georgia Reflexology Organization! We look forward to serving you for another year. Please complete the information below whether you are new or renewing your membership.
Name*

First NameLast Name
Are you ARCB (American Reflexology Certification Board) certified?*

YesNo
If you marked "yes" above, please provide your ARCB certification #
Are you a RAA (Reflexology Association of America) Member?*

Yes, AssociateYes, ProfessionalNo
Where did you obtain your Reflexology Certification?*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Name, if applicable
Business Address, if different

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website
Email*
example@example.com
Phone Number*

Area CodePhone Number
May we add your business listing to the GRO website? (as listed above or other)*
Membership

Should you wish to pay by check, send to: 1080 Pine Bloom Drive, Roswell, GA 30076
Membership*

Supporting Membership (Student)/1 yr ($25.00)Certified Membership (Reflexologist, not ARCB Certified)/1 yr ($50.00)Professional Membership (ARCB Certified)/1/yr ($50.00)

Membership Payment*

Supporting Membership $25.00

1 year / Supporting Membership/ Student Interested in studying Reflexology

Certified Membership $50.00

1 year / Certified Membership/ Other Professional/Reflexologist Not "ARCB" Certified

Professional Membership $50.00

1 year / Professional Membership/ "ARCB" Certified Reflexologist

Total $0.00

2024 Membership Application