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Information Request Form


Title:          *First Name:              *Last Name:
       
*Email Address:

Organization:  if applicable

*Address:

*City:                           *State:                 *Zip Code:          
*Day Phone:                           Evening Phone:
        
Profession:

* Required Input

Do you want to be added to our mailing list?   Yes
Do you want to be removed from our mailing list?   Yes
Would you like to receive our Patron's Newsletter via email?   Yes


Would you like more information regarding:
Individual Retreats
Group retreats, meeting or conference space
Making an appointment for spiritual direction
12-Step Spirituality
Eco-Spirituality

If interested in holding a retreat, meeting or conference at
Transformations, please give approximate dates and other
details regarding your desired usage:



Additional Comments/Questions:



How did you hear about Transformations?  (check all that apply):

Through the mail
Transformations semester brochure - all programs
Flyer, brochure or postcard - individual program(s)
In print
Church bulletin   Workplace newsletter   Poster
Newspaper     which one(s)
Magazine       which one(s)
Information Rack/Bulletin Board/Counter
Church   Senior Center   Health club   Store   Post Office
12-Step site Transformations Other
Broadcast
Television     Radio
Electronic
Transformations web site
Other Internet site  which one(s)
Transformations Patron's Newsletter (email)     Friend (email)
Word of mouth
Friend        Coworker Acquaintance
Counselor   Minister   Group meeting   Presentation
Other


Areas of interest  (check all that apply):

Aging and Spirituality
Art and Spirituality
Books/Spiritual Classics
Celtic Spirituality
Caregivers and Ministry
Days of Reflection/Contemplation
Dreams and Spiritual Growth
Eco-Spirituality/God in Nature
Faith and Science
Grief and Dying
Health and Spirituality
Journaling
Life Transitions
Liturgy and Music

Marriage and Relationships
Men's Issues
Lives of Saints and Mystics
Peace and Social Justice
Prayer Methods / Meditation
Retreats
Scripture Study
Spiritual Direction
Spiritual Development
Storytelling
Women's Issues
Work and Spirituality
12-Step Spirituality



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Copyright © 2003-2008 | Congregation of St. Joseph | Transformations Spirituality Center
3427 Gull Road ( M-43 just east of Kalamazoo) | PO Box 02 | Nazareth, MI 49074
info@transformationscenter.org | Tel 269.381.6290 | Fax 269.381.4616