Being persuaded  that The Magical Golden Dawn can help me attain my spiritual, mental, emotional and physical goals; and being further induced by your openness to accept people of all races, creeds, color, religion or spiritual path, I hereby apply for membership in The Magical Golden Dawn and warrant as follows:

_______ I am 18 years of age or older

_______ I declare myself ready to proceed with my magical studies.

(Please print very legibly or type this document.)

Name: ______________________________________________________________

Address: _____________________________________________________________

____________________________________________________________________

____________________________________________________________________

Telephone and/or Cell Phone _____________________________________________

Email Address ________________________________________________________

(All information provided is for internal use only and held in strictest confidence.)

Payment:

_______ I enclose payment in the amount of US $35.00 per person. Please make your check or money order payable to MGD and mail it to the following address:

MGD
PO Box 163
Ridgecrest, NC 28770-0163

_______ I am paying US $35.00 using the IPX Services secure and confidential link below.

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Signature