Application – Affiliate – National Association of Therapy Animal Organizations

Company

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Let’s get started by learning about you.

Requester Name(Required)

First Last

Requester Title

Email Address(Required)

Requester Phone Number(Required)

Requester Phone Type

Password(Required)

Enter Password Confirm Password

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Forum Nickname(Required)

Your nickname is the name that will appear in community forums and discussions. It can be different from your real name.

Next, let’s learn about your organization.

Organization Name

Street Address

Address Line 2

City

State

Zip Code

Business Phone

Website Address

What is your interest in animal therapy?(Required)

Can we post your logo on the NATAO website and marketing materials site as a member?

Yes

No

Please upload a copy of your organization's logo

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By signing below, I attest to the following:(Required)

I am authorized to apply to NATAO

I agree to adhere to NATAO Code of Ethics and Membership Agreement(Required)

I agree to adhere to NATAO’s Code of Ethics and Membership Agreement

I assert all answers are true to the best of my knowledge.(Required)

I assert all information on this form is true to the best of my knowledge

Signature(Required)

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Application Date

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Signature

NATAO Affiliate Application