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ATON Temple of the Lodge and Order
Contact and Membership Info Page
Information to the ATON Lodge and Order for membership application is held in the strictest of confidence.At the moment we are structuring our online and offline tutorials and workshops.Our presentation pages will soon be up and running on this site,and you may use the Info Form or we can utilize snail mail.
Cut,Copy and Paste this Form then print it out to snail mail to the ATON Lodge and Order...Please fill it out completely...in completed forms will not be reviewed in any way.
Full Name:_________________________________________________________________________

Home Address:____________________________________________________________________
________________________________________________________________________________

Drivers Lic. #. or Personal ID #:_______________________

Your Present Age:______ Marital Status: ( )Married ( )Single

Business Address:_________________________________________________________________

Occupation:______________________________________________________________________

If a student, state your major:_______________________________________________

Phone (Work):_____________________ (Home): ______________________

Fax/Modem:__________________ E-Mail Address:____________________


Please include all birth information requested in order to receive a natal chart upon membership.


Birth Date:____/____/19____ Time:___:___ a.m. p.m. (circle one)

Birth Place:______________________________________________________

How did you find out about the Order?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Do you have a magickal background? If so, explain:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

What is your religious background?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

If you are accepted, what do you expect to obtain from this order?

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Have you previously been involved with or are you currently involved in any of the following:


(Please check all that apply)

__
A Golden Dawn Group
__
Thelemic Golden Dawn
__
B.O.T.A.
__
Illuminati
__
Masons
__
Rosicrucians
__
O.T.O.
__
A.A.
__
I.O.T.
__
Astara
__
Solitary Wiccan
__
Wiccan Coven
__
Law Enforcement Agency
__
Government Agency
__
Other:


Why are you interested in spiritual development?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Please list any past study in spiritual development:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Have you ever been arrested, taken into custody, pleaded guilty or nolo contendre to, or been convicted of a criminal offense
(other than a minor traffic violation)? (Please note that having a conviction will not exclude you from being considered for this
organization.) ( )Yes / ( )No

If so, please explain:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Are you in sound bodily health? ( )Yes / ( )No

Have you ever been treated for any psychological disorders? ( )Yes / ( )No

If you work or are a student, please list hours and days of availability.
________________________________________________________________________________
________________________________________________________________________________

Do you believe in a Supreme Creator of the universe and a future existence?
( )Yes / ( )No

If you are accepted by this Order, will you adhere to all rules and regulations of the Order?
( )Yes / ( )No

Have you read all the questions contained in this application carefully?
( )Yes / ( )No

Do you, upon your honor, declare your foregoing statements to be true?
( )Yes / ( )No

As a condition of and in consideration of my being considered for membership in the ATON Lodge and Order, I do hereby authorize
the Magisters of the Order to conduct any investigation necessary. I further understand that this procedure may entail the contacting
of persons, either known or unknown to me, and that I waive all rights and remedies which may be extended to me under present
or future laws in connection with or relating to this procedure. I further agree to hold harmless and free from liability the Aton Lodge and Order Oasis,
its members, and persons referred to above from all legal proceedings, rights, and remedies which may otherwise be
available to me under current or future laws.


I hereby certify that I have read and fully understand the foregoing statement.

Signature:_______________________________________________________

Print Name:______________________________________________________

Date of application___/____/19____

Snail mail this too... C/O Elaine Hoover
6120 W.Tropicana a16 #369
Las Vegas,NV 89103