Application Forms / print & mail in with payment

Biomagnetic Therapy Association
PO Box 394
Lyons, Co. 80540 USA
#303-823-0307
www.biomagnetic.org

Name:

Address:

Email:

Phone:


Education / Interests:

Goals with Biomagnetic Therapy:

Membership Categories
(please select category)
o General : open to the public annual dues $ 45.00
o Certified: must submit one case study per year & annual dues $ 45.00


Please make check payable to BTA & mail to BTA.

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Biomagnetic Institute
PO Box 394
Lyons, Co. 80540 USA
#303-823-0307
www.biomagnetic.org

Name:

Address:

Email:

Phone:


Education / Interests:

Reason for entering training program:

Training Levels
(please select category)
o Certified Practitioner in Biomagnetics : open to all members of the Biomagnetic Therapy Association $592.00
o Certified Therapist in Biomagnetics: must submit proof of allied health training $592.00
Also a signed consent form must be filled out for application to be complete.

Please make check payable to BI & mail to BI

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