To send this application
with your membership fee
Highlight, copy, paste,
complete, print, sign and return the application
below or use the pdf version.
How
do I do that?
pdf
version Click
close to return.
Application
for Starter
Membership
|
Name |
|
If
you are married,
ask your spouse
to complete a separate Starter application or
go directly to our Cash Paid Action
Planner application.
|
| What
have you learned about Chimorel thus far? Do you
have any questions? |
|
Who
told you about Chimorel? |
| |
| Starter
Annual Membership |
$50
|
[x]
Turn my Starter Membership into
an Action Planning Membership |
$50
+ 10-20 hours |
[x] My
intention is altruistic.
I will set my goal using the Set
Goal area of the website. |
|
| () I/we need help setting my goal.
Please contact me. |
|
For
your convenience we have checked [x] Turn my Starter
membership into an Action Planning membership for
you. This makes you an Action Planner immediately.
You can complete your 10-20 volunteer hours any time
during the next year. We will give you many ways to
do so. To initiate your Special Project, you want
to become a Cash
Paid Action Planner.
Being altruistic
means part of your application fee can help others;
however, if you need help setting your goal, change
{x} to {} and () to
(x). You will have one more chance to change
your intention from Altruistic to Assistance when
you receive your Confirmation email.
Be sure
to register and confirm your membership when you receive
our confirmation email. Registering and confirming
starts your free Success Journey with Chimorel. You
will learn a lot. You can help others.
|
|
Send
your $50 check with this application to:
Do
not give your membership fee to another member or to a
Resource Developer. Send it to our address above or give
it the registration person at a Chimorel event or Cooperative
Effort meeting. We have set up this procedure for
your protection..
You will receive an email
confirming your membership and explaining your membership
benefits in greater detail. If you want to become a voting
member complete the voting application on the next screen
and return both applications with your check to the address
above.
Thank you!
Signed
_______________________________________________________
Date ___/___/11
Become
a Voting Member Click
Close to return
|