Registration for membership in The Glia Society

Submit your member list info and send a copy of your qualifying score to the address on the Contact page. Your ID giving access to the members-only area follows. Only submit the registration form if you are providing proof of a qualifying score around the time you submit this form; please check if your score is qualifying on the Qualification page. Please read the Qualification page carefully. Membership is free.

The free bimonthly members-only journal Thoth can be found on the members-only web site.

Leave blank any fields you want except for "name", "e-mail" and the questions about your qualifying score. What you enter here will be available to the other members, except for the qualifying score information. After completing the form, push the button "Click when ready".

Important - Glia Society members can communicate freely among each other on the society's fora in the confidence their words will remain within the society. By submitting this form you agree to respect this state of affairs; That is, you certify you will not leak out information shared between members to nonmembers.

Name
E-mail
Address line 1
Address line 2
Address line 3
Address line 4
Country
Web site U.R.L.
Sex	Male Female
Year of birth (4 digits)
Vocation
Hobbies, interests, sports
Marital status
If you have a photo of yours online, give U.R.L. (do not send the actual photo)
Languages
Height
Religion
Ethnicity
Political view
Sexual orientation
*If you qualified on a test scored by Paul Cooijmans check this button:
If you qualified on any other test check this button and send proof of the qualifying score:*

After clicking your info appears in below field (Possible double quotation marks entered by you will be preceded by a backslash). Copy and paste it into an e-mail message to Paul Cooijmans. How to copy and paste: Put cursor in the field, press Ctrl-a, press Ctrl-c, put cursor in e-mail message, press Ctrl-v.