SHELTER Home Page Welcome!

Registration Form

All information will be keeped strictly confidentially. There will be no any exceptions to give out information for any purpose. This information is required only for your counselor in order to provide the best quality service.

First Name: Family Name:

Address:

City: Zip: Contry:

Birth Date & Time:

E-mail address:

How did you find us?
How you would describe yourself?
What's your first impression about Shelter?


As soon as we will get your registration information, we will send you the confirmation as well as further information regarding FREE Spiritual Consulting Service by e-mail.

Proceed further!

Please send your suggestions about this Site to jana@post.omnitel.net
Last revision: July 26, 1996