2025 Membership Application

2025 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 #
If you are NOT ARCB Certified, do you have 200 hours or more of reflexology training?

YesNo
Reflexology School you attended
Total hours of Reflexology Program you attended
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
For Professional and Certified Members only- may we add your business listing to the GRO website? (as listed above or other)*
Membership*

Associate Membership/1 yr ($25.00)Certified Membership/1 yr ($50.00)Professional Membership/1yr ($50.00)

Membership Payment*

Associate Membership $25.00

1 year / Reflexologist With Less Than 200 Hours/Reflexology Student/Supporter

Certified Membership $50.00

1 year / a Certified Reflexologist that is not ARCB Certified, but has completed a minimum of 200 reflexology training hours

Professional Membership $50.00

1 year / "ARCB" Certified Reflexologist

Enter coupon

Total $0.00