"Founders" Member Registration Form ($1,250)


Pay a one time fee of $1,250 and secure a lifetime membership* with these benefits:

  • Access lecture slide sets, prepared by thought leaders in the MMH community, that you may use to educate the public and/or professional communities
  • Vote for the future leaders of our professional community
  • Disseminate your research and/or clinical services to the academic and clinical community through our social media, newsletter, and blog
  • Connect to thousands of mental health professionals with a shared interest in MMH globally
  • Keep updated with the Journal of Muslim Mental Health, the leading academic, peer-reviewed journal on MMH
  • Advertise your practice and professional listing on the leading MMH clinical director
  • Save with discounts on annual conferences as well as continuing education programs


*Applications for this category of membership will be sent to the Board of Directors for approval, prior to activating membership

Membership Information

Full Name:*
Street Address:*
Upload your CV here:*
No File Chosen
File uploads may not work on some mobile devices.
(Acceptable file formats are: *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.txt)
If you're interested in volunteering, let us know how you can help

Once you click submit below, you will be taken to a payment page to complete your registration.

$
Form secured by Formstack
Form secured by Formstack
Powered by Formstack Create your own form ›
Cancel
Confirm