Which of the following areas of empowerment and enlightenment
are most important to you: (Select any of the following options that apply:)

Personal Empowerment
Professional Development
Leadership Development
Organizational Empowerment
Community Empowerment
Community Economic Development
Spiritual Enlightenment
Church Development
Youth Empowerment
Women's Empowerment
Consciousness
Personal/Global Sustainability

What do you feel would be the most meaningful priorities
for CENTER SPACE to address and why?

Do you have a personal story to share about some influence or
experience in your life related to empowerment, enlightenment or your personal path?

How would you like to participate in CENTER SPACE:

Subscribe to newsletter
Become a member
Become an Empowerment Facilitator
Sponsor a program in my community
Become a resource provider
Serve on an advisory committee
Submit articles for the newsletter
Make a donation to support CENTER SPACE
Attend CENTER SPACE Retreats
Learn more about the organization
Recommend more resources

Which of the primary CENTER SPACE programs and publications
would you like to receive free information about?

Motivision, 21Steps to Manifest Your Vision      
Developing Spiritually Centered New Year's Resolutions     
Peace! Be Still and Know God                   
Partnership with the Lord                      
Seven Ascension Attitudes                       
The Ultimate Life Inpowerment Planning System 
Discovering Dreams with Co-creative Visioning    
Attaining Spiritual Enlightenment                
Enlightenment 101                               
Empowerment 101                                
Spiritual Mind Treatment                       
Crowned with the Ultimate Success of the Lord    
Your Interview with God, the Ultimate Entrance Exam 
Rise and Shine with 7 Ascension Attitudes        
Spiritual Prosperity Treasure Chest              
Godhood, Who Me? Oh My God!                      

What else would you like to share?

Please identify and describe yourself:

Name
Date of Birth
Sex	Male Female

Please provide the following optional contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL