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The Dark Moon Reborn
302 Pine St.
Pocahontas, Ar.
72455
The Dark Moon Reborn
302 Pine St.
Pocahontas, Ar.
72455
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Application for Student
Member
December 22, 1998
The Dark Moon Reborn
302 Pine St.
Pocahontas, Ar.
72455
Subject: Application for Student Member
Please enroll me as a Student Member of The Dark Moon Reborn. Enclosed is $25.00 for 1 year active Membership status (See Below)
Name : ______________________________________________________________
Street :_____________________________________________________________
City :_______________________________________________________________
State: ___________ Zip code :____________
The Dark Moon Reborn
302 Pine St.
Pocahontas, Ar.
72455
Subject: Application for Student Member
Please enroll me as a Student Member of The Dark Moon Reborn. Enclosed is $25.00 for 1 year active Membership status (See Below)
Name : ______________________________________________________________
Street :_____________________________________________________________
City :_______________________________________________________________
State: ___________ Zip code :____________
Please Give full detail of why you want to be a student of the Dark Moon and what you hope to achive..
Your All Membership Fee's are used to Fund Research Materials, fund the Bi-Monthly Newletter, provide for the opportunity to attend up to four free events per year and priority notification for four paid events per year. As well as invitations to Open Dark Moon Circles.