Holy Order of the Golden Dawn

Membership

Application

* All fields required

	first name:
	last name:
	address:
	apt:
	city:
	prov.:
	country:
	postal/zip code:
	sex:	male female
	date of birth:
	email:
	home phone:
	cell phone:
	best time to call:
	ID #:
	type of ID:
	how did you find out about our Order?
	do you have a background in spirituality, esotericism, occultism?
	if you are accepted into this Order, what do you expect to obtain from it?
	about you:
	have you ever been or are you a member of an Order?
		yes no
	if yes, name of Orders
	do you believe in a Supreme Creator of the Universe and a future existence?
		yes no
	are you in sound mental and bodily health?
		yes no
	if you are accepted by this Order, will you adhere to all rules and regulations of the Order?
		yes no
	I declare my information here-in as accurate and true
		yes no
		I have read and agree with the Oath and Vow (please read)