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DSA Individual Membership Application for

Gift Investor

Terms of Service


Gift Investor First Name*

Gift Investor Last Name*

Referring Member Name*

Phone number*

Email Address*

Notification Preference*

Select an option

Name of your Employer or Business / Organization*

Holistic (Healing) Arts Category you are seeking to Invest and/or Swap

Other Holistic (Healing) Arts Category you are seeking to Swap or Invest in:

Number of years of experience of the holistic arts practitioner you are seeking*

Select an option

Challenges or Goals you are seeking to address through holistic arts practice or other products & services:*

Other Challenges or Problems you are seeking to address through holistic arts practice

Brief Personal Story

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

Date*

Gift Ticket / Gift Card Categories or Brands for Exchange

Enter your needs & desires in terms of the Gift ticket categories  or Specific Gift card brands.

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