Recovery Coaches International

Recovery Coaches International
Membership Registration


Name
Address
City
State and Zip
Phone
E-mail
Website URL
I am certified by an ICF-certified coach training program
What is/are your credentials?
Name of certifying organization
List any other coach training you have received
If you are a recovery coach, we'd like to list your information in two places on this site, so you can be accessible to the public (on the "Find a Coach" page) and also other members ("Directory" page in Members only section). What information about you may we list on the public area of the site (Find a Coach page)? We will list all your information in the Members-only section.
Name and credentials		Address
Phone	E-mail	Web site
Comments


Payment Information
How do you intend to pay for your membership?
Check mailed to address below		PayPal
Clicking the "Submit" button below will send your information to RCI. You will also be forwarded to a payment page where you will have the opportunity to pay by credit card or by mailing a check


*Please send your check (if applicable), to:* Recovery Coaches International c/o Deborah Mann Smith, RCI Treasurer 6281 Still House Rd. Blairsville, GA 30512 Once your payment has been received you will receive an e-mail confirming its receipt and giving you access to the members-only section of this web site as well as the RCI members listserve.