Membership Checkout - Psilomethoxin

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Member of the Church of Psilomethoxin

The price for membership is $55.55 per Year.

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***Please be sure to answer all questions thoughtfully. This is our first time “meeting” you as a member, so tell us about you! We will not approve applications that are incomplete. —

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How did you learn about the Church of Psilomethoxin? Did an existing member refer you? If so, who?

Are you opposed to the shamanic, ritualistic, spiritual, and/or religious use of sacred entheogens such as Psilomethoxin? Please state your postion

Please describe both your good and bad experiences while taking entheogens/psychedelics

Have you ever attended a sacred ceremony, or held a personal religious ceremony involving the consumption of sacred entheogenic sacraments?

In the event you are selected as a member in the Church, do you agree to follow specific rules and guidelines as established by the Church?

YOU MUST BE 100% TRUTHFUL AND ACCURATE IN COMPLETING THIS FORM. By putting your name HERE you recognize all statements are true and accurate:

Disclaimer: This website is for information and educational purposes only and is not intended as medical advice. As with anything consumable, please consult your medical provider, prior to consumption. Every individual is different and may react differently to different substances. Consult your physician about interactions between medications and/or supplements you are taking. Comments made on this site or in any other online forums, made by employees or site users, are strictly their own personal views, made in their own personal capacity, and are not intended as a substitute for appropriate medical care or advice from a healthcare professional. The Church of Psilomethoxin makes no medical claims on efficacy. THIS PRODUCT IS NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.Do not use if you are pregnant or nursing. Store in a cool, dry place. KEEP OUT OF REACH OF CHILDREN.

I have read and acknowledge the disclamer.

**If you have not received an email from us within 3 days of your application, check your spam or other folder —

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