AS Membership 1 year Payment/Subscription Options

Auto-renew Membership Subscription by PayPal and 1 year Card membership payment options

Please choose one of the below options
Option 1 Auto-renew Subscription
Click this link below to set up Auto-renew PayPal Subscription if you have a PayPal account this way your membership will not run out each year. Its very easy to set up (this is our preferred option):

https://form.jotformeu.com/90645628329364
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Option 2 Pay by card without Paypal account (you will need to renew manually each year so make a note of your expiry date so you can contact us then)
Full Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Country Code Area Code Phone Number
Date *

Day Month Year
Date
Select appropriate button below for 1 year only payments by card which do not Auto-renew each year (Please click appropriate subscription button)
Enter the message as it's shown *
Please Only Click 1 of the Below Payment Options

to avoid being accidentally overcharged
My Products *
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1 year Acupuncture Practitioner only payment
£ 100.00 GBP

1 year Bodyworker Practitioner only payment
£ 50.00 GBP

1 year Acupuncture and Herbal Practitioner payment
£ 100.00 GBP

1 year Chinese Herbal Practitioner only payment
£ 100.00 GBP

1 year Acupuncture, Herbal and Bodyworker Practitioner payment
£ 100.00 GBP

Total

£ 0.00 GBP

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

Auto-renew Membership Subscription by PayPal and 1 year Card membership payment options

Please Only Click 1 of the Below Payment Options