American Society of Dowsers
Dowsers Specialty List (DSL) Application Form

            Name :     

 


Street :   
City, State, Zip :   

Phone # :    

Email address :   

Website URL :   

ASD Chapter :   

Are you an ASD Member (Yes or No) :    

Please note : You MUST be a current ASD member to be listed on the DSL.
Failure to maintain your membership will cause you to be delisted!
In the box below, please give us a short biography!

In the boxes below, please indicate which Dowsing Specialty(s) you wish to be 
listed under.  (Yes or No)

   Water :           Personal Well Being : 

    Lost :      Ancient Wisdom or Spirituality: 

    Earth Energies:      Speaker or Instructor:              


In the box below, please list the names and contact information of three (3) references.

ADDITIONAL COMMENTS:

If you wish to print a copy of this application, you should do so before clicking on the "SUBMIT" button above.   Most browsers will not let you get back to this page after you have "Submitted" the form.