To send this application with your membership fee
Highlight, copy, paste, complete, print, sign and return the application below.
How do I do that?
  pdf Version   Click close to return.

Application for Cash Paid Five Goal Plan
Name(s)
1 2
Street
 
City
 
Zip
 
Home #
 
Work# 1
 
Work # 2
 
Email #1
 
Email #2
 
What have you learned about Chimorel thus far?

 

 

Who told you about Chimorel?
 
5 Goal Plan Annual Membership   (Cash Paid)

$250

{x}My/our intention: initiate a Chimorel Special Project.
Please consider this application as my/our request to initiate a
special project.
 
() My/our intention is altruistic.
I/we will set my/our goal using the Set Goal area of the website.

 
       For your convenience we have checked {x} initiate a Chimorel Special Project. We anticipate you will choose to solve significant problem or achieve a major goal of your own. We will contact you to initiate your Special Project. Please pay attention to emails to the address(es) provided.
        If you want this application to be altruistic, change {x} to {} and () to (x). You will have one more chance to change your intention from initiate a Special Project to Altruistic when you receive your Confirmation email.

       
Your Cash Paid Action Planning Membership entitles you to initiate a first level Chimorel Special Project. You will receive the first chapter of Create a Chimorel Project as part of your confirmation email. You will be able you to download all ten chapters.
       Be sure to register and confirm your membership when you receive our confirmation email. Registering and confirming starts your Success Journey with Chimorel. You will learn a lot. You can help others.

Send your $250 check with this application to:

        Do not give your membership fee to another member or to a Resource Developer. Send it to our post office box, give it to Warren or to the registration person at a Chimorel event or Cooperative Effort meeting. We have set up this procedure for your protection. Click close.
       
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 and return the form on the next screen. Send the voting application with this application and your check. Click Become A Voting Member. Click close. Thank you!

Signed 1 ___________________________________ Signed 2 ______________________________________ Date ___/___/11
Become a Voting Member  Click close to return.

© The Chimorel Group 2006