Membership Card Form » PsiloVibe Church

Please enable JavaScript in your browser to complete this form.

Name

First

Last

(Must Age Name

Age (Must be 21+)

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How long have you been using our church sacraments?

I just started
A few weeks
Longer than 1 month
I am skeptical and haven't used them

Why do you want to be a church member?

All mushroom sacraments provided are strictly considered for religious ceremonial purposes only. PsiloVibe Church encourages all members to follow the laws set forth by their Country, State / Province, and local municipalities.

PsiloVibe Church is unable to answer any legal questions and/or make any legal determinations.
PsiloVibe Church takes no responsibility for any items that are used in an illicit or illegal fashion.

PsiloVibe Church reserves the right to terminate any donation(s) made with the intentions to be used in an illicit or illegal fashion and/or any other purpose other than those previously stated. PsiloVibe Church reserves the right to permanently ban anyone from using the site, for any reason, at any time. PsiloVibe Church and its members recognize that the FDA has not approved the use of mushrooms as a cure and or remedy for any medical issues.

PsiloVibe Church – 508(c)(1)(a)