SCN Member Information
Hello and welcome to Spiritual Communities Network. We are looking forward to supporting you in your work. Please take a few minutes to complete the information below so that we can best serve you. This profile information will be used on the SCN website Directory. If you have any questions, please call me. 239-595-1587 Gwen Peterson, Founder of Spiritual Communities Network
Your Directory Listing information
This information will appear in the printed Directory and SCN website.
Please select the heading you would like your listing under
*
Centers & Retreats
Counseling, Coaching & Psychotherapy
Holistic Educators
Meditation
Metaphysical Fairs
Networking Partners
Products & Services
Psychic Readers, Mediums & Intuitives
Publications,Films,Radio & Books
Sound Healing
Wellness
Please choose only one
Business Name
If different from the contact name
Contact Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you wish to have your address included in the Directory
*
Yes
No
Email
*
example@example.com
Website address
Business phone number
*
-
Area Code
Phone Number
Location where you work, choose 2
*
Naples
Fort Myers
Bonita Springs
Cape Coral
Tampa/St. Pete
Orlando
Melbourne
Miami
SWFL
Online
Global
Information to better serve you with.
The following information will NOT be included in your listing on the SCN website Directory. This information will help us better serve you through social media support and newsletters.
How did you hear about us or referred you to us?
Thank you for sharing.
Please provide the email that you would like to receive SCN updates and newsletters at. Please use one that you check daily. This is how you will receive very important information about your membership.
*
example@example.com
Optional--Birthday Month
January
February
March
April
May
June
July
August
September
October
November
December
Your birthday month will not be available to the public
Head Shot
*
Your head shot will be used for promoting you as a member
Annual Membership
Your membership becomes effective when payment is made.
Membership Payment
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SCN Annual Basic Membership
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