Member Information

Thank you!

Your membership payment has been completed, and a receipt for your purchase has been emailed to you by PayPal.

You may log into your PayPal account at www.paypal.com/us to view details of this transaction.

Please provide us with the following information below:

[contact-form to=’subscriptions@6beds.org,it@6beds.org’ subject=’New membership subscription.’][contact-field label=’Licensee(s) Name’ type=’name’ required=’1’/][contact-field label=’Mobile | Contact Phone No.’ type=’text’ required=’1’/][contact-field label=’Fax No.’ type=’text’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Mailing Address’ type=’text’ required=’1’/][contact-field label=’Facility Name’ type=’text’ required=’1’/][contact-field label=’Facility Address’ type=’text’ required=’1’/][contact-field label=’City’ type=’text’ required=’1’/][contact-field label=’Zip’ type=’text’ required=’1’/][contact-field label=’County’ type=’text’ required=’1’/][contact-field label=’Total RCFE Facilities You Operate’ type=’text’/][contact-field label=’Total ARF Facilities You Operate’ type=’text’/][contact-field label=’Comments’ type=’textarea’/][contact-field label=’Your Membership Subscription’ type=’radio’ required=’1′ options=’Annual – $600%26#x002c; Every Year,Semi-Annual – $300%26#x002c; Every 6 Months,Quarterly – $150%26#x002c; Every 3 Months,Monthly – $50%26#x002c; Every Month’/][/contact-form]

Aside from the information above, 6Beds DOES NOT keep your financial records.