Mentorship Renewal

First name

Last name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Please Check All Boxes As A Confirmation Of Completion From The Information Page

I have reviewed and understand the Statement of Dedication

I Understand the Vow

I have completed my Vow either verbally or silently

I agree with the Social Media Guidelines

Please Check Both Boxes

The Integral Way Mentorship Program is its own entity when it comes to dues. CHI Health Institute has its own dues. Both are under the legal umbrella of The College of Tao

I hereby attest that the foregoing information, and all enclosures, are true and correct

I understand that the information given above is specifically for internal use by The College of Tao. For the Directory and other public use I prefer the following.

I choose to have my name and email in the directory

I choose not to have my name and email in the directory

Date picker

I attest that all of the foregoing information, and all enclosures, are true and correct. I agree to provide supporting documentation if requested. By checking this box I agree that this is the equivalent of my signature.

Annual Fee

$75

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