HONORARY / RETIRED MEMBERSHIP

Non-Voting Members

HONORARY MEMBERSHIP IS FOR THOSE THAT HAVE NOT TAKEN AN APPROVED IAOM 28 HOUR INTRODUCTORY COURSE, OR, DO NOT HOLD A PROFESSIONAL LICENSE AS: SLP, DDS/DMDS,OR RDH BUT HAVE AN INTEREST IN OROFACIAL MYOFUNCTIONAL THERAPY

RETIRED MEMBERSHIP IS FOR ACTIVE MEMBERS WHO ARE RETIRED AND NO LONGER PRACTICING

Honorary / Retired Membership $100

Annual dues are good through 3/31 of the following year.

Upon submission of this application you will be redirected to pay by credit card.

To pay by check or money order please mail to:
The IAOM
ATTN: JENN ASHER, EXECUTIVE COORDINATOR
P.O. Box 2352
Sequim, WA USA 98382

For future information,
please contact the IAOM office at:
Phone: (360) 912-4547
Fax: (503) 345-6858
Email: info@iaom.com
Website: www.iaom.com

SEE UPCOMING COURSES

The benefits of Honorary, or Retired Membership allows access to IAOM newsletters, discounted annual convention rates, networking, social media and other valuable information. However, honorary and retired members cannot vote, hold office within the organization, nor are eligible for certification at this time.

Honorary / Retired Membership Application

What level of membership are you applying for? HonoraryRetired

Preferred mailing address
Home addressOffice address

Professional references:
Give three with complete addresses and phone numbers.






Please explain your background and interest in the field of orofacial myology

Please list professional organizations to which you presently belong:





SUBMISSION OF THIS APPLICATION SIGNIFIES THAT ALL OF THE INFORMATION HEREIN GIVEN IS CORRECT AND THAT I HAVE READ AND ACCEPT The IAOM Professional Code of Conduct

Note: If you would like to apply for Certification, you are required to hold a license as: SLP, DDS/DMD, MD, or RDH and complete an IAOM approved 28-hour Introductory Course. Cost of Honorary Membership may be credited and/or prorated when applying for full IAOM membership at that time. For further information regarding this process, please contact Jenn Asher, The Executive Coordinator at (360) 912-4547.