SANTHA Membership – Practitioners / Therapists / Healers Retail Application Form Please enable JavaScript in your browser to complete this form.Your Name *FirstLastPrimary Number *Primary Email *EmailConfirm EmailPostal Address for Certificate Delivery *What type of Therapist or Practitioner are you? *Medical PractitionerAfrican Traditional HealerAfrican Traditional HerbalistPhytotherapistHomeopathic PractitionerNaturopathic PractitionerChinese Medicine & Acupuncture PractitionerAyurvedic PractitionerUnani-Tibb PractitionerChiropractic PractitionerTherapeutic AromatherapistTherapeutic Massage TherapistTherapeutic ReflexologistDietician / Nutritionist / Health AdvisorType of Product/s *Herbal ProductsHomeopathic ProductsSuper FoodsSupplementsNatural Skin/CosmeticsSubmit