Alternative Health Options - Dedicated to balancing your body in a safe and natural way

NEW MEMBER

Wednesday, 09 July 2008

Membership

Means

You have made a commitment to change the health direction of your life.

You’re making a commitment to walk with nature.

We at Alternative Health Options are committed to providing you with guidance, information and the best technology we have available to help you reach your health goals.

Please be advised that if you now have or ever had a life threatening disease that we will only work with you as long as you keep your medical doctor informed and involved. We want to work in cooperation with him or her to provide you the best and safest outcome possible.

Fill out the application, and then go to the payment page.

The best deal is the starter package as it saves you $49.00

When this is completed one of our professionals will call you within 48 hours.

complete the form below to become a member

Name

Address

City

State

Zip

Home Phone

Cell Phone

Date of Birth

Email Address

Do you now or have you ever had any medical condition? Please describe:

Are you currently taking medications prescribed by a doctor? Please describe:

Please list the name of your spouse and children as well as their ages.

Review and accept the agreements

Pursuant to the decisions that I in the future may make as a result of learning acquired as a result of my association with alternative health options Inc. and my involvement as a member of the club; I agree to identify, protect, save and hold harmless the club and alternative health options Inc. from any and all liability pursuant to any and all outcomes that may arise either to myself or to any minor and/or incompetent for who I am legally claiming responsibility and hereby charged my heirs to honor this agreement.  I further 
acknowledge and hereby agree to take full and complete responsibility for all my actions when applying anything that I may come to learn, know, or assume to understand as a result of my association with anyone who might come in contact with in or around all my activities and involvement with Alternative Health Options Inc. or on the grounds of 1188 Wooster Road W., Barberton, Ohio.

Please be advised that Alternative Health Options Inc. does not diagnose or treat disease.  We do not replace your doctor but will work with him or her to help harmonize your system.

By accepting this agreement, you acknowledge that all the foregoing is a true and accurate statement of your current position.

Please continue to the payment page and pay the membership fee.

After receipt of these two items we will mail you a membership package which will include: your user name and password, waiver form and your personal health folder.

Please continue here.

I accept