CENTER SPACE Membership

CENTER SPACE™

The Center for Spiritual, Personal And
Community Empowerment and Enlightenment

Providing Resources for Helping You A.R.K.
Awaken to Spirit; Realize More of Your Potential; and
Know How to Fulfill Your Divine Destiny

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CENTER SPACE MEMBERSHIP
NOTE: This membership application is being programmed. In the meantime, please print it it and mail it back to us at CENTER SPACE, PO Box 20072, Sedona, AZ 86341.


Membership benefits include:
	Membership Newsletter
	Discount of 10% to 25% on books & tape programs
	Discount of 5% to 25% on seminars and workshops
	Discounts on consulting services
	Opportunity to network with other members
	Earn commissions for generating product sales, bookings, etc.
	Thousands of dollars worth of free bonuses
Donations to support the nonprofit work of CENTER SPACE are deductible to the maximum extent allowable. We welcome your support and collaborative participation!

Membership Application

Please provide the following contact information:

Name

Title

Organization

Address

City

State

Zip Code

Country

Work Phone

Home Phone

E-mail

URL

Date of Birth

Sex

Male Female

BILLING

Credit Card

Cardholder Name

Card Number

Expiration Date

You can mail your membership application and check to
CENTER SPACE. P.O. Box 20072, Sedona, AZ 86341.

Would you like to recommend books, tapes, seminars, workshops or trainers that we could share with our members?	How could we most effectively assist you in your personal and spiritual empowerment?


Would you like one of our Prayer Partners to contact you? If yes, provide information below:	What else would you like to share with us about yourself, our web site, anything?


Please select the type of membership:
Become a Charter Member for a donation of $1,000
Become a Founding Member for a donation of $100
Become a Member for $50 a year