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Applicant #1

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Spiritual Training (Name all religious, philosophical, or metaphysical study.)
How did you find the Brotherhood of the White Temple?’
Total Amount
Total Amount

Applicant #2

Full Name:
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Birthdate:
Place of Birth:
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Spiritual Training (Name all religious, philosophical, or metaphysical study.)
How did you find the Brotherhood of the White Temple?’

I pledge secrecy regarding all lessons, passwords and rituals, which may be imparted to me by the Brotherhood. I will not impart them to anyone not a member of the White Temple Church unless given permission by an officer of the Brotherhood.


I understand that all lessons, rituals and other Brotherhood material are loaned for my use while a member of the Brotherhood. I pledge to return all materials provided, if my membership is terminated.


Either the Brotherhood or myself may terminate the connection at any time.


I will not impart them to anyone not a member of the Brotherhood unless given permission by an officer of the Brotherhood.’

Name (Applicant #1)
Name (Applicant #2)
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