Name:*

Address:

City:*

State/Province:*

Zipcode:

Country:*

Phone Number :

Fax Number :

Email Address: *


Website(s): *

The following section will provide specific information about what you do. There are a number of categories provided. Only fill in the sections that apply to your work and ignore the others. Be thorough and succinct in your wording. Provide links to your current website pages if they apply. If you want to add section headers, please add those in all caps. If you have recordings or books, please list them. If you have more than one listing per category, please provide a section header to distinguish the listings from each other.

HEALING PRACTITIONER: (Sound therapists, vibrational and energy practitioners, music therapists and sound healers)

MUSICIAN: (Musicians, composers, performers, recording artists...list recordings here)

AUTHOR: (Books, scientific papers, articles, etc.)

RESEARCHER: (Sound researchers, psychoacoustic researchers, music researchers)

EDUCATOR/SCHOOL: (Teachers, workshop leaders, group facilitators, training and certification programs, schools, conferences and symposiums)

OTHER: (This category is for anything that doesn't specifically fit into any other category. Headings are very important in this category. An example in this category would be founder of an organization or community leadership achievements.)

COMMENTS: (Use this section to give us feedback, share comments, or ask questions about membership in the Healing Music Organization.)