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Membership Application
Step 1 of 3

Thank you for your interest in the Source Connection Ministry and Alchemy Wellness, a private membership association. This is the exclusive and private member association of alchemywellnesspma.com. Access to resources on this website, including but not limited to information, suggestions, recommendations, sacraments, services, etc. is not available or accessible to the general public.


Only private members of the association, have exclusive access to these privileged resources. In order to proceed and avail yourself of same, please complete this form to request membership. The cost is $10 for a lifetime membership payable at the time of your first visit to Alchemy Wellness Garden Spa.


Important: You cannot request membership for someone else. S/he must do it her/himself. Contact us regarding special circumstances. If requesting membership for an organization, enter your name below, then contact us to add the organization's name.


Important: Yahoo Mail or any Microsoft free e-mail services (Hotmail, Live, Outlook, etc) have been quite unreliable at delivering our e-mails, which may impede this membership process and our future communications to you. We suggest that you use a different email service, such as https://tutanota.com. Alternatively, adding our domains (@Alchemywellnesspma.com and Alchemywellnesspma.com ) to your email whitelist may help receive our emails without any issues.

Proper Given Name (No alias or nickname)
Please complete the following fields, Given Name (First & Middle), Family name (Last).
A username can contain letters, numbers, spaces, underscores, hyphens, periods, and @ symbols. Other special characters are not allowed.
Email
Password
Please create a strong password for your account.
Consent
We take privacy very seriously. Your information will not be sold, leased or shared with any other entity. All details are kept secure and used only to fulfill your requests.