This form is to be used by current, active HMN Members who are applying to become a Leader or Co-Leader of an existing or new Chapter.
Please complete the form below and click the Submit button to complete your leadership registration, paying by credit card or using a PayPal account. Please select your current Chapter from the list below or complete the Proposed Chapter Name box if you are building a new community. Your Leadership Application will not be complete until payment information is entered and a notification of payment is received from PayPal.
Should you have any questions, please contact us at mentoring@holisticmoms.org.
Chapter Leader/Co-Leader Fee for Members is $25.00
Fields marked R are required.
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