NAMASTA -

NAMASTA Online Registration Form

You are one step away from enjoying the support of NAMASTA!

**IMPORTANT**: Services such as liability insurance require additional payments to third parties offering special programs for members. NAMASTA membership dues do NOT
include premiums for liability insurance or health insurance.

Just fill out the registration form below.
Then click on "Register Member."
Call us toll-free at 1 877 NAMASTA (1 877 626 2782) if you need assistance!

(* fields are required)

Select a Username & Password to gain access to the Members Area for future use!

* Username:

* Password:

I have read the membership agreement and agree with the terms:

Membership:

	Associate Membership $9.99 - 12 monthly payments each year
	Associate Membership $99.99 - Annual payment - $20 or 17% off monthly payment option
	Professional Membership $20.00 - 12 monthly payments each year
	Professional Membership $199.00 - Annual payment - $41 or 17% off monthly payment option
	Sponsor $5000.00 -
	Referral

Membership Ref Code:

code is required ONLY if you were referred by a partner organization

Company Name:

(if applicable)

* First Name:

* Last Name:

* Email:

* Phone:

* Address 1:

Address (continued):

* City/Town:

State/Province:

Other State:

* Postal/Zip Code:

* Country:

Please e-mail us at memberservices@namasta.com or call us at 1 877 NAMASTA 10-4 Pacific Time within the United States if you encounter any problems