Sufism and Psychology Forum Membership Form
Please fill out the following form and return it to:
Sufism and Psychology Forum
14 Commercial Blvd., Suite 101
Novato, CA 94949
Name ________________________________________________ Date __________
Mailing address _______________________________________________________
_____________________________________________________________________
Email address ________________________________ Phone __________________
Degree ___________________ Professional license _________________________
Academic affiliation ____________________________________________________
Organizational affiliations _______________________________________________
If you have a CV, please attach a copy with this form.
Membership
Membership includes a subscription to the SPF newsletter Psychology, 20% discount on SPF events, classes, and workshops, and 20% on ads in the newsletter. Please make checks payable to International Association of Sufism (IAS). Contributions are tax deductible and will directly fund SPF programs.
___ $ 35 Student/Intern
___ $ 50 Sustaining
___ $ 70 Associate
___ $ 100 Friend
___ $ 500 Benefactor
___ I am interested in volunteering to participate in SPF activities.
___ I am interested in submitting articles to Psychology.
The Sufism and Psychology Forum is not affiliated with any one Sufi school or order. All participants in the SPF and IAS are volunteers.