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Print out this form and mail to : The Dark Moon Reborn 302 Pine St. Pocahontas, Ar. 72455 OR Copy the Information below and Paste Into the Body of the Email |
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Application for Contributing Member December 22, 1998 The Dark Moon Reborn 302 Pine St. Pocahontas, Ar. 72455 Subject: Application for Contributing Member Please enroll me as a Contributing Member of The Dark Moon Reborn. Enclosed is $25.00 for 1 year active Membership status (See Below) Name : ______________________________________________________________ Street :_____________________________________________________________ City :_______________________________________________________________ State: ___________ Zip code :____________
Your Contributing Membership Fee is 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. |
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