09.25.16 9,620 CommentsCourtesy Membership Welcome to NGAOM. Complete the form below for a free one-year membership. Price: Free First Name:* First Name Required Last Name:* Last Name Required Address Line 1: Address Line 1 is not valid Address Line 2: Address Line 2 is not valid City: City is not valid Country: Country is not valid -- Select Country -- United States (US) Afghanistan Åland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belau Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba CuraÇao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Martin (Dutch part) Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe State/Province: State/Province is not valid Zip/Postal Code: Zip/Postal Code is not valid Business Name:* Business Name is Required Acupuncture License Number:* Acupuncture License Number is Required Years in the Profession:* Years in the Profession is Required Office Phone Number:* Office Phone Number is Required Cell/Text Phone Number:* Cell/Text Phone Number is Required Home Phone Number: Home Phone Number is not valid Do you wish to be a part of our membership directory and to receive the benefits of search engine optimization afforded by your listing in the NGAOM directory?:* Do you wish to be a part of our membership directory and to receive the benefits of search engine optimization afforded by your listing in the NGAOM directory? is Required Yes Are you interested in purchasing our exclusive NGAOM Malpractice Policy?:* Are you interested in purchasing our exclusive NGAOM Malpractice Policy? is Required How did you find out about the NGAOM malpractice policy?:* How did you find out about the NGAOM malpractice policy? is Required REFUND DISCLAIMER: Once you join, your first year of membership is nonrefundable, renewal is automatic and you will receive emails ahead of time to remind you of your upcoming renewal. Should you wish not to continue your membership, please email us 2 weeks PRIOR to your renewal date. If you request a refund 2 weeks AFTER your renewal has been processed a $50 processing fee and one month of membership benefits will be deducted from the original amount. After 2 weeks, unfortunately, refund is not available. Thank you very much for your understanding. Please confirm you agree.* Click here if you do not want to auto-renew your membership. You will be reminded prior to the expiration of your membership so that you can renew manually if you so choose. Be advised, however, that if you do not renew your membership, your benefits may be immediately revoked, including, if you have purchased it though our agents, the NGAOM Cap Specialty malpractice, your ID protection, scholarship grants, student loan benefits, CEU, towing, gym, movie discounts and all of the hundreds of other benefits to which you entitled from OPEIU and as an OPEIU member of the AFL-CIO, will be voided.: Click here if you do not want to auto-renew your membership. You will be reminded prior to the expiration of your membership so that you can renew manually if you so choose. Be advised, however, that if you do not renew your membership, your benefits may be immediately revoked, including, if you have purchased it though our agents, the NGAOM Cap Specialty malpractice, your ID protection, scholarship grants, student loan benefits, CEU, towing, gym, movie discounts and all of the hundreds of other benefits to which you entitled from OPEIU and as an OPEIU member of the AFL-CIO, will be voided. is not valid Do Not Auto-Renew My Membership Please Auto-Renew My Membership Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Password Strength Password must be "Strong" or stronger No val Please fix the errors above
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