Membership Application Form

Instructions

Please fill out the following form to apply for membership with the National Qigong Association. Be sure to enter your information accurately and use an active email address.

Any questions regarding your membership application should be sent to info@NQA.org

Select An Option

General $45 Annually

Basic level membership. Access to membership benefits and NQA member-only announcements and events.

Practitioner $100 Annually

Membership benefits as well as eligibility for board/committee elections and teacher listing.

Professional $150 Annually

Highest level of membership. Aforementioned membership benefits as well as certification, teacher listings and being a speaker at NQA events.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist