New Member Information

Name*
First Last
Address*
Mailing address City State / Province / Region ZIP / Postal Code
E-mail
Cell Phone I(enter zeroes if you do not have a cell phone)*
Other Phone (enter zeroes if you do not have another phone)*
Date of Birth*
Profession
Special Skills
Children at home (names and ages)
New Member Agreement*
I choose to become a member of the Center for Spiritual Living, Santa Rosa and agree to support it financially and spiritually. This means I agree to complete an annual giving intention form, and to support the Center and its people in my daily spiritual practice.
I agree.
Today's Date*
Date Format: MM slash DD slash YYYY