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Bulletin Board Forum |
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Application
| Please print this application using the print function of your browser (or simply write the answers to the questions below) and send it by fax, e-mail, or mail to: Summa Foundation for Mindful Living 3019 Midvale Avenue Philadelphia, PA 19129 USA with $12 (US) or more as a contribution for participation in the Bulletin Board Forum, and request a username and password. You will be sent a username and password which will allow your access to the bulletin board forum. Note that at this time the feature to post messages has been suspended. Your contribution may be a check or money order payable to "Summa Foundation" in US dollars, mailed with the application. Or your contribution may be a credit card or bank payment via a well-known "free" internet service called PayPal, accompanied by an application sent separately by mail, e-mail (sf@csswebservices.com) or fax (215-849-0214). PayPal works in the USA, Canada, Australia, most of Europe, and many other countries (see list below). You can make your credit card contribution to Summa Foundation via PayPal by going to the bottom of the home page of the Summa Foundation web site and clicking on "PayPal donate," or by clicking here: This is intentionally not a "free" study forum, partly to assure higher quality participation and commitment to its self-developmental purposes. The information requested below is intended to be used only in connection with the operation of this on-line study tool and development of future study tools. Please fill in at least your name and the contact information needed to send you your password information. 1. Name__________________________________________________ 2. Address________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ 3. E-mail address____________________________________________ 4. Fax______________________________________________________ I do___ or do not____ wish to be contacted regarding other study opportunities related to the Fourth Way. OPTIONAL QUESTIONS to help us with maintaining this study forum and other learning opportunities: 5. Briefly, what is your experience with the Fourth Way or teachings of Gurdjieff, Ouspensky and their students (if any)? Does your experience include work with a regular group and/or with movements exercises? 6. What topics would you like to see addressed in the study materials? 7. Do you have any experience with meditation or body awareness work, such as T'ai Chi, Alexander Technique, yoga and so on? Briefly list. 8. Are you interested in more personal interaction as a part of your studies with the Summa Foundation bulletin board forum: (a) by occasional telephone conferences? yes____ no____ maybe____ (b) by occasional weekend seminars in Philadelphia? yes____ no____ maybe____ 9. Briefly, what is your age, education, special expertise, family status and occupation? 10. How did you find Summa Foundation for Mindful Living? 11. Are you already familiar with how an internet bulletin board forum works (that is, how to post a message, follow a "thread" or topic, etc.)? yes____ no____ maybe____ 12. If English is not your first language, please let us know whether: __ you are fluent and this web site has been easy to understand, __ you are fairly fluent but appreciate use of simplified language, __ you know some English but will need help to participate, AND have such help already, __ (other - please briefly explain) 13. Do you have any mental, physical or other conditions that might adversely affect or be adversely affected by participation in Fourth Way study and practices with Summa Foundation? no____ yes___(briefly explain) Please understand that, although the studies and practices presented through this bulletin board forum are designed to greatly enhance your well-being, health and fulfillment in life, they are not a substitute for professional counseling, psychotherapy, treatment of medical or psychological problems, etc. Anyone needing professional help and advice is encouraged to seek it from qualified providers. 14. Comments:____________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ My contribution is __ enclosed as a check or money order to "Summa Foundation" in the amount of $ 12.00 (US) -- No cash please. __ paid by credit card via PayPal on _________, 2002 in the amount of $ 12.00 (US) Thank you for your participation. It is a privilege to serve the Fourth Way community in this way. If you have any questions about the application, or comment about the guidelines or any forum activity, you may contact the webmaster at sf@csswebservices.com. |
PayPal credit card payments are available as of August, 2001
in the following countries:
* United States
* Argentina * Australia * Austria
* Belgium * Brazil * Canada * China * Costa Rica
* Denmark * Dominican Republic * Finland * France * Germany * Greece
* Hong Kong * Iceland * India * Ireland * Israel * Italy * Jamaica * Japan
* Luxembourg * Mexico * Netherlands * New Zealand * Norway * Portugal
* Singapore * South Africa * South Korea * Spain * Sweden * Switzerland
* United Kingdom
See the PayPal website under "Help" -> "International" ->
"Is PayPal available in my country?" for an updated list (www.paypal.com).
However, do not try to send a contribution to Summa Foundation from PayPal's
web site. Instead, we strongly suggest that you use the PayPal link
from the Summa Foundation web site.
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