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SCIENCE OF WELLNESS SOCIETY
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I I                                                                    pledge to up hold the principles of the Science of Wellness Society as an active member and foster, to the best of my ability, the society to the world and assist in the building of its membership wherever I go.  As a member of this society I pledge to support all other members and not violate their sovereign rights provided by this society to all of its members.

I also understand that as a member of this society, I will also need to become a member of the American Family Home Health Association, which is the Founder and supporter of the Science of Wellness Society to spread the knowledge and understanding obtained from this science, to the rest of the world.  I desire to learn this science and to believe in the premises of this science, so that I can assist in the process of educating the world so that the world may benefit.

I believe that it is the basis from which we may establish a happier, longer, disease free life style if we hold to and utilize its principles of living. 

I understand that as a member, I will receive the full benefits of membership and that the principles of this science support my religious beliefs and do not interfere with them.  I believe that this science has been give to mankind from the Living God of Abraham and to all those who accept its principles and premises of living and who are willing to apply them so that optimum health may be obtained and a pain and disease free life can be experienced.

I am of sound mind and agree to the statements and concepts presented herein, in the society's Credo and I therefore indemnify and do not hold responsible all members and professionals for any accidental injury or adverse outcomes that may result from my giving or receiving the care giving methods encompassed, within the Science of Wellness from qualified professional members or from my own improper use of information and procedures taught by the society!

I also declare that I understand that I seek membership of my own free will and that I am free to cancel my membership at any time for any reason and that the Science of Wellness Society may reject my membership and cancel it at any time for any reasonable reason.

I the undersigned do acknowledge this pledge on this the                                        Month                 day of the Year                 .


                                                   

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Send in your FREE  OR YOUR first year SUPPORTING membership registation.  If you choose to make a donation, send in a money order or cashiers checks only or go to membership pledge shopping cart to use your card!  Thank You!

TO: The Science of Wellness Society
1606 E. Libra Dr
Tempe, Arizona 85283
(480) 626-0270
Toll Free 1-866-431-2963

We will send you your membership certificate and ID: Card on receiving your registration donation!  You will also receive a free $5.00 value booklet to introduce you to the Science of Wellness and help you understand its importants to you and the world.

Learn why you should take advantage of the reduced cost to all our supporting members who attend our seminars.  Become a seminar sponsor.  Contact us at:
office@scienceofwellness.org

THANK YOU FOR YOUR INTEREST, MEMBERSHIP AND SUPPORT!
This Page Is For General Membership
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YOU MAY COPY THE FORM BELOW AND MAIL IT IN WITH YOUR DONATION PLEDGE OF MEMBERSHIP!
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  PRINT AND MAIL IN MEMBERSHIP FORM:

I _________________________________ understand that as a member of the Science of Wellness Society I may also become a member of the American Family Home Health Association our sponsoring association.  I pledge to uphold not only the principles of this society but those of the association and                    those contained in the Science of Wellness as taught in the Science of Wellness Seminars.

I also pledge to uphold the principles of freedom contained in the Constitution of the united states of America.  As a sovereign citizen I shall incorporate all of these principles into my chosen life style as efficiently and diligently as possible.  I understand that by doing this I may obtain the maximum level of health and vitality.  As I continue to apply these principles to maintain this high level of health, I shall remain in a continued state of wellness, free from disease, pain and suffering.

I understand that being a member of these Non-Secular organizations only strengthens my chosen religious - professional belief system and will not conflict with it in any manner.  I also pledge that I shall extend this same religious freedom privilege, provided in the Constitution of the united states of America, to all other members and shall not interfere in any manner with their chosen beliefs and life style.

I understand that I am free to cancel my membership at any time for any reason and that the Society and Association have the same prerogative, by giving in writing, notification of such a decision and in a reasonable manner.

As a valued member I also understand that I freely consent to indemnify all other members and practitioners for any accidental injury obtained from any health enhancing procedures received from a member.  I relinquish all rights to seek remuneration of any nature for any injuries of a physical or mental nature that may allegedly be a result of the procedures I request be provided to me. And I declare that I have read, understand and accept the content of the Credo of the society and associations to which I have become a member.

I here-by pledge to assist other members of the society in support groups and extend a hand of kindness to all humanity by doing my best to publicize this society and the laws and principles of wellness and bring in new members to assist in spreading, to the people of this world, this badly needed science and information.   I acknowledge that with my signature this document becomes legal and binding in all the states of the union.

This I pledge on this the_________ day of _________________/___________.

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                         Signature




  NAME:_____________________________________DATE OF BIRTH:___/___/___           AGE:______M___ F___

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  WEB SITE                                                                                                     URL:________________________________________________________________

  NON-PROFIT:-_______________________________________________________
  ADDRESS: _________________________________________________________
  ZIP CODE: _____________________
  STATE : _________________________________________
  PHONE#:_________________________________________

  PROFESSIONAL QUALIFICATIONS: _______________________________________
________________________________________________________________________

  HOBBIES  INTERESTS: _________________________________________________
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