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Printer Friendly Page New Member Renewing Member Certified Membership Processing Fee Diplomate $25.00 Fellow $25.00 Certified Wellness Specialist CWS / Certified Wellness Director CWD $25.00 Certified Wellness Educator CWE $25.00 Certified Wellness Consultant CWC $25.00 Certified Wellness Healthstyle Coach CWHC $25.00 Membership Level Membership Fee Choose one of the following membership levels. Fellow/Diplomate and Certified Member (Annual Dues $110) $175.00 Certified Member (Annual Dues $100) $150.00 Member (Annual Dues $90) $130.00 Student Member (Annual Dues $45) $45.00 International Member (Annual Dues $100) $150.00 Corporate Member (Annual Dues $250) $250.00 Life Member (No Annual Dues) $1,000.00  (one time fee) Divisions Annual Fee Check any of the divisions that you want to join that might benefit your profession. Social Wellness $10.00 Physical Wellness $10.00 Spiritual Wellness $10.00 Emotional Wellness $10.00 Vocational Wellness $10.00 Nutritional Wellness $10.00 Psychological Wellness $10.00 Environmental Wellness $10.00 Personal Information Fill out the information below. Fields in gray are optional. Prefix Mr. Ms. Mrs. Dr. Rev. Email Full Name Home Phone Address 1 Work Phone Address 2 Fax City Occupation State/Zip AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY / Degree (Highest earned) How did you hear about ACW? Credit Card Information Visa, MasterCard, American Express, and Discover cards are gladly accepted. Number Expires 01 02 03 04 05 06 07 08 09 10 11 12  /   2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Life Members:  Payment Options If you chose Lifetime Membership, choose how you wish to break up your payments. Down Payment $  (Minimum $150.00) Monthly Payment $  (Minimum $100.00) TOTAL AMOUNT DUE Total Due Today: $ Next Annual Fee: $