Luminous Listener Membership Application

Luminous Listener Membership Application

To apply for a membership, please complete all required questions.
Name*

First NameLast NamePronouns
E-mail*
example@example.com
Phone Number

Area CodePhone Number
City *
Country*
What is your age range?*
If you prefer not to answer, please set the option "I prefer not to answer."
Postal Code
How did you find us?*
Please mark all of the event types you have attended from us*

Poetry NightTrivia NightGalactic Study Session (Group A or B)NoneOther
Briefly explain why you are interested becoming a Luminous Listener.*
List any topics or subjects you have previously studied that are related to cosmic consciousness, quantum science, cosmology, metaphysics, nutrition, energy healing or other related topic.*
Would you to be added to the private online Luminous Listener Community Forum?*

YesNo
Would you to be added to the private online Galactic Study Community Forum?*

YesNo
By submitting this application, you agree to receive notifications from Quantum Nest LLC.*

I agree
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