The Professional Organizer Affiliate Renewal
The Professional Organizer
180 Worthington Drive
Marietta, Ga 30068
770-579-9866
Member Information
Fill in the information below to continue your affiliation with The Professional Organizer's growing cooperative group.
*
First Name
*
Last Name
*
Address 1
Address 2
*
City
*
State
*
Postal Code
*
Phone
*
Email Address
*
Renewal Type:
Basic 1 year - $250
Basic 2 year - $400
Affiliate Plus 1 year - $250
Affiliate Plus 2 year - $400
*
I agree to the terms and conditions of the Affiliate Agreement signed when entering as an Affiliate.
Yes
*
5 continuing education units per year are required to renew your affiliate status. (see affiliate agreement 2b)
(Books, CD's, and classes all count towards continuing education. Units must be about the organizing industry).
Please list each book, CD, or class with Title, instructor/author and Date of completion.
List 5 if it has been one year since your last renewal.
List 10 if it has been two years since your last renewal.
These are the continuing education units I have acquired in the past year:
*
Your renewal will be complete upon payment via Paypal or by check.
• To send by credit card via paypal, go to http://www.payapl.com and send to organizer@Theprofessionalorganizer.com
• To pay by check, mail to The Professional Organizer, 180 Worthington Drive, Marietta, GA 30068.
This is the amount being sent for renewal:
Click here to go to Paypal now
*
Indicates Response Required
Build forms with
FormSite.com