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APPLY FOR MEMBERSHIP

MEMBERSHIP APPLICATION FORM:

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Membership Application


I hereby apply for membership in the International Association of Scientologists.

I understand that the purpose of the Association is to unite, advance, support and protect the Scientology religion and Scientologists in all parts of the world so as to achieve the Aims of Scientology as originated by L. Ron Hubbard.

I promise to abide by the rules, codes and policies of Scientology and I do not belong to or work for any hostile organization or group or any group that is dedicated to the harming of mankind.

I understand that the membership dues are stated as a minimum amount and that the Association accepts donations of any size. All donations will be used towards the protection of the Scientology religion and the fight for freedom for all mankind.

I also understand that membership dues, donations and contributions are not refundable.

I HEREBY GIVE MY PERMISSION FOR THE INFORMATION PROVIDED ON THIS FORM ALONG WITH ANY INFORMATION I MAY LATER PROVIDE TO THE INTERNATIONAL ASSOCIATION OF SCIENTOLOGISTS TO BE STORED IN A COMPUTER.

Membership Type:

I apply for annual membership in the International Association of Scientologists. Dues for an Annual membership are US $500.
I apply for lifetime membership in the International Association of Scientologists. Dues for a Lifetime membership are US $5,000.

I am making a partial payment toward my:

Annual membership
Lifetime membership

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