Full Name:
State/Province:
Age:
Date of Birth (MM/DD/YY):
Time of Birth (if known):
Place of Birth:
Sex (M/F):
Nationality:
Marital Status (Married/Unmarried/Divorced):
How did you hear of the Sanctuary of Ma'at:
Are you, or have you been a member of another esoteric Order?
If so, do you have have the permission of that Order to join us:
What is your profession:
Have you ever suffered from any nervous disorder or depression?
Have you ever had to see a psychiatrist:
Please select a Motto or magickal name to use in the Temple*
*Note: The Motto or Magickal Name is a special, magickal name or
phrase chosen by the magician for use in a magickal lodge or temple. A Motto
is taken in order to disassociate oneself from the mundane world for the
duration of the magickal work. Many magicians choose Mottos that have personal
spiritual significance for them. Golden Dawn Mottos are typically in Latin
and Hebrew in order that they are outside the normal language used in secular
life, but it may be in any other language as well.
(Please tell us about you and why your interested in working the Golden Dawn
system, as well as, your reasons for joining this temple. One to two pages
would be fine)
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