"There has never before been
an association of Microscopists,
whether they practice
Brightfield, Phase Contrast, or
Darkfield... Now there is!"
Copyright 2014, CNMA, LLC, All Rights Reserved
Copyright 2014, CNMA, LLC, All Rights Reserved
Center for Nutritional Microscopy Association Int’l
2014 Membership Application
Welcome!

The Center for Nutritional Microscopy Association is an International organization dedicated to providing Education and Community
Service to promote Natural Holistic Health throughout the world. We welcome your presence, your experience, and your participation.
If you have any questions as you are completing the membership application please email admin@cnma-i.com or you can contact
CNMA directly at 678-481-0577.

                                                                                                                                Warm Regards, CNMA Executive Officers
Name
Business Name
Business Address
Zip
City
 State
Business Phone
Fax
Email
Website
Main Practice Modality
3)
Other Modalities   2)
4)
 5)
Current Type of Microscopy:
Brightfield (Live/Dry)
Phase Contrast
Darkfield (Live)
Where were you trained and by whom:
Certified or Licensed Date  (please specify which)
Credentials (to be updated yearly)  Licensed in
State(s)
 Number(s)
Expires
OR Describe in detail:  Certificates held, Practice description, Training process, Experience summary:
Organize Events
How are you willing to help out CNMA?
 Staff CNMA booths at events/fairs
Membership Drives
 Board Member
Public Relations
Other
Write Journal Articles
Blood Mapping Research
How did you hear about us?
How can we improve CNMA?
Your comments, please:
Date:
Membership Application