Legal Name ______________________________________________________________________
Spiritual or Other Name ____________________________________________________________
Address ________________________________________________________________________
_______________________________________________________________________________
Email: __________________________________________________________________________
Telephone: ______________________________________________________________________
Cell phone: ______________________________________________________________________
By
signing below I warrant I have completed the Gnostic Lessons and desire to
become a member of the
Universal Gnostic Fellowship.
I am interested in learning more about the following organizations and opportunities available to me as a member of the Church:
I also warrant I am currently ordained and/or consecrated as:
______ A Deacon or Deaconess ______ Minister, Priest or Priestess ______ Bishop
(Please enclose documentation to support this if you wish to transfer your
credentials to the Universal Gnostic Fellowship; or list on the back of
this application the churches or organizations that conferred these
ordinations and/or consecrations upon you.)
Signature __________________________________________ Date _____________