Special Discounts

Avail Special Discounts on Insurance

By Submitting this Discount Form, You will be Eligible for WAFCP Discounted Membership Fees.
If You haven’t Purchase the Membership Form then Please Pay the Membership Fees by Bank Transfer
Premium Membership – $145 ($11 Postage Fees Included) More than 1 Modality
Advanced Membership – $105 ($11 Postage Fees Included). 1 Modality Only.
Student Membership – $25 ($11 Postage Fees Included). Certificates will be sent to You by Email. For Only Students with the Student Cards.
Please Pay Your Membership Fees to Your Association Membership Bank Account.
Once Your Certificate is Ready, You can Upload Your Certificate and Take Benefits of Discounted Memberships & Discounted Insurance.

Name*
First Last
Email*
Phone Number*
Address (We do not accept P.O. Box Addresses)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of the Modality*
How did you find us?*
Upload Your Certificate Related to Your Modality which You Practice*
Drop files here or

Accepted file types: jpg, png, pdf, jpeg.
Upload Your Certificate Related to Your Modality which You Practice*
Drop files here or

Accepted file types: jpg, png, pdf, jpeg.
*
- If You are having WAFCP Membership then Please Upload it to Get the BizCover Insurance.