Spreading Compassion to Create a More Peaceful, Loving and Spiritually Abundant World!

Collaborating for the Joy of Healing &

Learning, and Realizing our Dreams

DSA Group Membership Survey Questionnaire
Terms of Service

Name of Group / Business / Organization*

Group Representative First Name*

Group Representative Last Name *

Group Representative Title

Phone number*

Email Address*

Notification Preference*

TextEmailText and Email

Group Category*

For Profit BusinessNot-for-Profit CorporationCity/State/Federal Org.Other

Number of years in Business / Operation*

Less than 1 yearBetween 1 - 3Between 3 -5Between 5-7Between 7-10More than 10 years

Business / Organization Category*

Healing ArtsCreative ExpressionRetailHousingUtilitiesTransportationFun & AdventurePersonal ServicesPet ServicesProfessional ServicesHospitals & Rehab CentersNot-for-Profit CorporationsCity/State/Federal Gov. OrgsOther (Specify below)

Other Business / Organization Category

I declare that the foregoing is true and accept the terms of Service for this application.*

Agree

Date*

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Thank you. Your answers have been submitted successfully. We will be in touch soon! Divine Spark Allies Team

Gift Ticket Specification for Groups

Enter the specification for each Gift Ticket. You can add up to 3 Gift Tickets for your Group.

[email protected]

www.divinesparkallies.org | www.holistichealingandyoga.com

My Business Name

DSA Group Membership Survey QuestionnaireTerms of Service

Gift Ticket Specification for Groups

DSA Group Membership Survey Questionnaire
Terms of Service