PROFESSIONAL - AP - AYURVEDIC PRACTITIONER - California Association of Ayurvedic Medicine

Become an Ayurveda Practioner member with CAAM at a special launch rate today.

● Right to vote for Board Members and impact CAAM’s governance

● Special discount for Professional Malpractice Insurance

● Additional insurance discounted rates if you hold multiple licenses

● Listing on CAAM’s Professional Directory accessible to the public

● Access to key documents such as Ethics & Scope of Practice

● Marketing materials including use of the CAAM Member logo

● Special Discount rates at CAAM Events

● Attorney Discount

● Opportunity to register first for all CAAM hosted events

● Discounted Rate when attending a CAAM Conference

● Out-of-State CAAM Members will have the same fee and privileges except they don’t have the right to vote on any issues in CAAM, including the election of board

Terms:

$99 / Year

Name of Applicant (First):* Name of Applicant (First) is Required

Name of Applicant (Last):* Name of Applicant (Last) is Required

Professional Initials of all Licenses or Certifications: Professional Initials of all Licenses or Certifications is not valid

Current Profession/s of Practice: Current Profession/s of Practice is not valid

Do you hold a license or certificate? (Please name all): Do you hold a license or certificate? (Please name all) is not valid

Applicant's email:* Applicant's email is Required

Applicant's Phone number:* Applicant's Phone number is Required

Applicant’s Mailing Address (Street):* Applicant’s Mailing Address (Street) is Required

City:* City is Required

State:* State is Required

Country:* Country is Required

Zip / Postal Code:* Zip / Postal Code is Required

Business Name (if any): Business Name (if any) is not valid

Business email: Business email is not valid

Business Website: Business Website is not valid

Authorized Representative Full Name:* Authorized Representative Full Name is Required

Business Mailing Address:* Business Mailing Address is Required

Authorized Representative Title:* Authorized Representative Title is Required

Title: Title is not valid

Authorized Representative Contact Number:* Authorized Representative Contact Number is Required

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Please describe the products or services that your business provides.: Please describe the products or services that your business provides. is not valid

Profession:* Profession is Required

Please attach a passport size photo for your member ID Card: Please attach a passport size photo for your member ID Card is not valid

What brought you to CAAM: What brought you to CAAM is not valid

Where did you hear about us?: Where did you hear about us? is not valid

I have reviewed CAAM’s current requirements for the membership category for which I am applying and certify that I meet all of these requirements;*

I will provide CAAM such other information and materials as CAAM may request at any time and from time to time, for the purpose of determining if I comply with the requirements and other standards in effect for membership in CAAM;*

I shall act in a manner in compliance with all CAAM policies and requirements, and all applicable federal, state and local laws, and shall be careful to avoid any act or conduct which might injure, directly or indirectly, in any manner, the reputation of CAAM or any other person or entity associated with CAAM;*

Approval of this application is within CAAM’s sole and absolute discretion;*

My membership in CAAM, if approved, shall be for a one-year period, unless terminated earlier pursuant to CAAM’s rules, regulations, or other standards then in effect;*

Should my membership in CAAM lapse or terminate for any reason, I understand that if I wish to renew my membership, I will be required to submit a new application and comply with CAAM’s membership requirements and other standards then in effect;*

I hereby authorize CAAM, in its sole discretion, to perform and/or request criminal history checks and other background investigations to verify any and all information provided in connection with this application, and understand that discovery of false information in or related to this application, or of relevant criminal history, may result in denial or termination of this application, and/or my membership in CAAM;*

All statements, answers, and representations made in this application and/or in any supplementary materials are true, accurate, and complete.*

Date:* Date is Required

Signature ( I’m acknowledging that I am the authorized representative of the above mentioned Business. By entering my name in this field, I authorize the use of my digital signature to confirm the above terms on behalf of the above Business/Organization):* Signature ( I’m acknowledging that I am the authorized representative of the above mentioned Business. By entering my name in this field, I authorize the use of my digital signature to confirm the above terms on behalf of the above Business/Organization) is Required

Email:* Email is Required

Educational Institution:* Educational Institution is Required

Website:* Website is Required

Institution Address (full):* Institution Address (full) is Required

Institution Phone Number:* Institution Phone Number is Required

Please provide a link(s) to your current catalogue(s).:* Please provide a link(s) to your current catalogue(s). is Required

Start date of Practice:* Start date of Practice is Required

Applicant’s Mailing Address (City):* Applicant’s Mailing Address (City) is Required

Applicant’s Mailing Address (State):* Applicant’s Mailing Address (State) is Required

Applicant’s Mailing Address (Country):* Applicant’s Mailing Address (Country) is Required

Zip / Postal Code:* Zip / Postal Code is Required

Signature (By entering my name below, I authorize the use of my digital signature to confirm the above terms on behalf of me) :* Signature (By entering my name below, I authorize the use of my digital signature to confirm the above terms on behalf of me) is Required

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

No val Please fix the errors above