Membership Information/Activities
Web Site: http://www.as-u.org Phone:
804-353-7040
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MEMBERSHIP APPLICATION
For the period January 1, 2008 through
December 31, 2008
_____________________________________
Title Name
_____________________________________
Address
_____________________________________
City, State, Zip
_____________________________________
Phone Email Address
Licensed Minister___ Ordained___
Licensed Practitioner___ Other___
Licensed by:_________________________
All members receive the newsletter and mailings; licensed
professionals are listed in publications and on the Web site and
participate in professional events.
Annual dues (payable by check or Money Order):
Professional: Minister $75.00
Practitioner: $50.00
Associate: $25.00
New memberships after July 1 are prorated at
50% of annual dues.
