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FELLOWSHIP
OF THE AVATAR APPLICATION FORM |
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Print
out the following application. If you would prefer to print
without graphics,
click here. |
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REQUEST
FOR MEMBERSHIP |
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- I
desire to become a disciple of the Avatar and will sincerely
and earnestly strive to live in harmony with Divine Law
so that I may, by example, draw those around me to the
Path.
I will work with all my might to establish the Brotherhood
of Man and the Christ-Kingdom on earth
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- Minimum
contribution of $2.00 per month is required. Enclosed: $__________
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Method
of Payment |
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United States:
Personal Check, Money Order or Credit Cards |
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All other
countries: International Postal Money Order drawn from
U.S. Funds |
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or |
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International
checks drawn from U.S. Funds |
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or, Credit
Cards drawn from U.S. Funds |
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| Name: |
_________________________________________________ |
| Street
Address: |
_________________________________________________ |
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_________________________________________________ |
| City: |
_________________________________________________ |
| State: |
_________________________________________________ |
| Zip
Code: |
_________ |
| Country |
_________________________________________________ |
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Mail
Application to: |
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Brotherhood
of the White Temple |
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7830
Oak Way, Dept. A |
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Sedalia,
Colorado 80135 U.S.A. |
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Please
charge my Mastercard/Visa $ __________ . ___ ($6.00 minimum) |
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CREDIT
CARD NUMBER: __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ |
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EXPIRATION DATE (4-digit):
__ __ (Mo.) __ __ (Yr.) |
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SIGNATURE: x_______________________________________________________ |
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