Network Affiliation UPDATE Form

The Benedictine Network

Network Affiliation UPDATE Form

Peace be with you.
Please update your contact or web information as indicated.
Thank you. Peace and Joy!
The White Robed Monks of St. Benedict

Please enter today's date (MM/DD/YY):
Please enter your name:
First Name: Middle Initial: Surname:
Current e-mail address (REQUIRED):
YES, Please UNSUBSCRIBE my address as shown above from the e-mailing list.

To add/correct, please enter your birth date (MM/DD/YY):

If address change, please enter your OLD mailing postal address:
Address: City:
State/Province: ZIP+4/ Postal Code:
If Other, please specify:
Please enter your NEW mailing postal address:
Address: City:
State/Province:
USA ONLY please enter ONLY 5 digit ZIP Code:

If in USA, to insure prompt processing of this form, PLEASE obtain and fill-in below your ZIP+4.
To obtain your ZIP+4 please click: USPS Zip Code Retrieval Unit. Your information (usually) will be saved. When +4 is obtained, just click browser's tool bar BACK button at top of USPS page to return to this form.

Zip+4 currently in USPS data base. YES  NO   If NO, then insert OOOO in next field.Thank you.)

Please enter ONLY +4 here:

Postal Code:
If Other, please specify:

Please enter your OLD e-mail address:

Please enter your NEW e-mail address:
Please re-enter your NEW e-mail address:
(An EXACT e-mail address is necessary if we are to properly process your application.)

New home telephone number with Area Code:
New work telephone number with Area Code:
New cell telephone number with Area Code:
New work telephone number with Area Code:
New cell telephone number with Area Code:

(For Network Affiliates only)
Please enter your NEW WEB site's URL:
Do you wish your WEB Site published/hyperlinked within your Zendo listing?
Yes, please add/hyperlink my WEB site in my listing in the Zendo with my web site's name being:

and brief description:

Please change my personal information (offered below) so as to appear in which ONE of the following ways (if NO selection is noted, we will assume you wish your information to remain as currently posted in The Zendo):

Yes, please list my name in the Index (country, state, city) which links to my personal rationale for affiliating (if offered below) with e-mail address in The Network's Semi-Cloistered Zendo page (access by special instruction) OR

Yes, please list my name with my personal rationale for affiliating (if offered below) and e-mail address in The Network's Cloistered Zendo page (access by password/ID) OR

Yes, please list only my general rationale for affiliating (without my name and e-mail address) to The Network's Anonymous Affiliates.

Please UPDATE my clerical status as follows:
No
Yes, please list under Network Affiliated Clerics my name, e-mail address and personal information as an Ordained Cleric (Minister, Priest/Deacon, Pundit, Rabbi, etc.) in the following religious tradition: If "Other," please indicate here: .

Please note as my clerical title:
If "Other," please indicate here: .

If a Christian cleric (bishop, deacon, minister, priest), please note:

Bishop

Deacon

Minister

Priest

If a Catholic deacon, priest or bishop, please denote jurisdiction in which you are or were last incardinated:

If "Other" or Independent (*Autocephalous) Catholic, please cite name of jurisdiction:

If a Protestant ordained (not lay) deacon, minister or bishop, please denote denomination:

If "Other," please cite name of denomination:

Please UPDATE my personal information for networking possibilities: business social, spiritual or the like as follows:

Thank you. Peace and Joy to you and yours.
BEFORE SUBMITTING THIS FORM
PLEASE CHECK THAT YOUR E-MAIL ADDRESS IS CORRECT.
Note: If you DO NOT receive a Thank You Notice upon submission, the CPU from which you are about to transmit this form may have a firewall that does not allow a cgi script to send a Thank You Notice-Your data has transmitted message. This is especially so if you receive a 404 error notice saying "File cannot be found." All is well. Your information has probably transmitted. If you receive "File cannot be found.," please hit REFRESH and the Thank You Notice should appear.

In any case, as added insurance, we strongly recommend that you send a separate e-mail to Web Master with Subject being Network Update and in message area: your contact e-mail, Last Name and phone number. We will confirm within 24 hours whether or not we received your information. Thank you.

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Father Abbot
White Robed Monks of St. Benedict
Post Office Box 27536
San Francisco CA 94127-0536 USA
Phone: 415-292-3228
e-mail:webmaster@whiterobedmonks.org
Page URL: http://www.whiterobedmonks.org/netap3.html
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