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BioResonance Research
Theresa Dale, Ph.D., C.C.N., N.P.

Phone: (800) 219-1261
Email: t4joy@earthlink.net

NUFEM HRS
AFFILIATE PROGRAM

Membership Requirements
We have had hundreds of requests for health providers that are using NuFem in their area. Therefore, Dr. Dale created a "affiliate membership program", so that consumers that visit our website can locate competent health providers in their geographical location. The affiliate program includes licensed health providers, who are using NuFem and EndoPure Homeopathic Hormone Rejuvenation Program and have achieved the following requirements.

  • Successfully administered the NuFem program to 50 or more patients with excellent success.
  • The health provider does not use hormones in their practice.
    Or
  • Completed the on-line Homeopathic Endocrinology training at www.traditionalnaturopathy.com.

Your contact information will be listed on our website according to geographical location, after completing the above requirements.

There is a one-time membership fee of $125.00. Please complete the form on our website to apply for membership. Dr. Dale will be available to answer any questions through her email address, which is t4joy@earthlink.net.

When you have qualified and paid the "Affiliate Membership" fee, we will have your contact information available on our website in 10 days.

Professional Information
Are you a graduate of I.C.N.?
YES    NO
Did you graduate from the homeopathic endocrinology training?
YES    NO
Have you used Nufem Saliva Test and Nufem products on at least 50 patients?
YES    NO
IF YOU HAVE ANSWERED YES TO THE LAST THREE QUESTIONS, YOU ARE ELIGIBLE TO BECOME AN AFFILIATE MEMBER AND BE LISTED ON OUR WEBSITE. THERE IS A ONE TIME MEMBERSHIP CHARGE OF $125.00.

Please submit here or fax this completed form with your Mastercard or Visa number and expiration date to (928) 284-2543. Within 10 days of receipt we will have you listed on our site.
*Card Type:
MC    VISA
*Card Number :
*Exp Date :
*First Name:
*Last Name:
*Occupation:
*Full Email Address:
*Phone:
Fax:
*Street Address:
*City:
*State/Province:
*Zip:
*Country:
  If you would like to have access to receive wholesale
information, Dr. Dales's professional lecture handouts and research, ordering and pricing information, please provide the information below and we will have all information emailed to you.
**Seller's Permit :
**Degree:
**License Number:
  ** Needed in order to meet state's requirement
I WOULD LIKE TO RECEIVE DR. DALE'S FREE " Homeopathic Hormone Rejuvnation" NEWLETTER?
 

Referrals: We will put your name on our Health Providers list after you have experienced the NuFem Salivay test and Dr. Dale's Homeopathic Hormone Rejuvenation Products and upon your request.

Request Information
I would like to receive an information packect about Theresa Dale's product line, including Dr. Dale's Medical Abstract about Homeopathic Hormone Rejuvenation and a FEE educational CD.
I would like to receive a school catalog from the International Collge of Naturopathy, Inc.


Dr. Dale does not share your name or her mailing lists with any organization
other than her main distributor who will be mailing your information.

Thank you! For more information call: 1-(800) 219-1261

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