Application  Form 

                                                                                            

Rosicrucian Order,

Order of the Hermetic Gold and Rose+Cross

Membership Form

 

Rosicrucian Order,OHGRC  c/o  Frater Joshue       685 Lucas Ave. 913, Los Angeles, CA 90017

email:  intl_rosicrucianorder_ohgrc@yahoo.com   (+1 (213) 3446076

                                                                                                                                                       

 

 

Name__________________________________________________________________________

        (Surname)                         (Given)                      (M.I.)

 

Address_______________________________________________________________________

       _______________________________________________________________________

 

E-mail_______________________________________________________________________

Tel.no.__________________________________Celfone no._________________________

Age__________Sex___________ Nationality____________________Civil Status______

Birthday__________________________Birthplace__________________________________

Educational attainment_______________________________________________________

Talents/Hobbies_______________________________________________________________

Occupation____________________________________________________________________

 

Purpose for jointing the organization________________________________________

______________________________________________________________________________

______________________________________________________________

Previous esoteric and mystical studies taken_________________________________

 

 

      I hereby swear that all the written information herewith are all true to the best of my knowledge. I do agree not to reveal the teachings and techniques handed down to me, for they are duly given only as privilege of membership.

 

                                             _________________________________

                                                      Member’s Signature

 

                                             _________________________________

                                                           Date

 

Membership procedure:  Please attach a whole body picture.

1.    Please fill up the membership form completely.(Applicant must be at least 18 years old.) You may either send through Postal mailor  E-mail if unable to submit in person.

2.    Send your application form  or submit in person. Monthly payment for the lessons is 10 USD.  You may use the payment icon  thru paypal in this website or send Personal check or Money Order payable to Rosicrucian Order, OHGRC.