Membership Renewal

Your OHA membership online renewal is a 4 step process:

  1. Complete the form below and click the Continue button.
  2. Begin the payment transaction by clicking “Pay Now”.
  3. Complete your credit card, debit card, or PayPal transaction with PayPal’s secure gateway.
  4. Receive a confirmation email from PayPal.

*items with an asterisk are required:

For our records and OHA Directory:
First Name*:
Last Name*:
Credentials:
Name you want on your Certificate*:
Contact Phone*:
Contact Email:
Business Address*:
This address is new
Do NOT list me on the OHA Directory
For our records only – not for public view:
Mailing Address*:
(where we mail your renewal certificate and OHA Journal)
This address is new
Home Address:
This address is new
Continuing Education Units*:
(15 CEUs per yr)

(please include number of CEUs and how you achieved them. Example: Three OHA meetings @ 5 CEUs per meeting is 15 CEUs)
Membership Level*: Member ($50)

Associate Member ($35)
By clicking the Continue button below, I certify that I have received 15 hours of continuing education listed above to fulfill the requirements for membership renewal and have all applicable documentation on file and will submit them to the OHA Board upon request. I further state that I am in compliance with the ethics of the OHA. Membership requirements and Code of Ethics are listed at www.hypnosis-oregon.com.