Personal Information

Name (first and last)

Email

Phone

Company name

Name to appear ON TABLE SIGN*

Address

Speaker's Information

Name (first and last)*

Email*

Phone*

Write Full Address*

Professional Designation:*

Job Title:*

Company name*

Link

File upload*

If your proposal is not initially accepted, would you be open to being placed on a waiting list to step in if a cancellation occurs?*

Name (First and Last)*

Business name*

Email*

Phone Number*

Full Address*

Website Link

Headshot

Rhode Island Holistic Healing Association (RIHHA) is a 501(c)(3) non-profit organization.

Website made by Quotally

Home
Join RIHHA
Resources
- Practitioner Bio Form
- Discounts For members
- Wisdom Wellness Webinars
Directory
- Practitioners
- Institutions

bottom of page