Connecting People On Their Spiritual Path

Date*
Date Format: DD slash MM slash YYYY
Member Information
Name*
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Address*
Address line 1 Address line 2 Town/suburb State Postcode
Phone*
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IPMI Membership Details
Membership Level Options*
Select a 1 year membership to IPMI-Australia.
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This will be used to login to your membership level area.
Password*
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Remember this password you will be using it to login to your Membership Account Area. If you lose the password you can reset using the email provided above.
Additional Member Information
Have you experienced the 1001 Profile?*
- Yes
- No
Are you a Contracted Instructor with the Wayshowers College?
- Yes
- No
Date Signed as a Contracted Instructor.
Who did your 1001 Profile?
Approximate Date of your 1001 Profile
Date Format: DD dash MM dash YYYY
Let us know your first and second gift
Example - Vision Feeling
For Platinum Membership, please list date of the following profiles: 1001s, 1002a, 1003a, and 7004
Example, 1002a March 2009; 1001s April 2009, 1003a May 2010, 7004 June 2010. All profiles are a prerequisite for Platinum Membership.
Membership Total
$ 0.00
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