Theological Science Society

I want the advantages of membership in THE THEOLOGICAL SCIENCE SOCIETY, Int. and I understand and appreciate the fact that maintenance and operation of this Fellowship and Its Course of Training for Personal Development is dependent upon my regular monthly Gifts or Free Will Offerings to The Theological Science Society, and I hereby agree to active compliance therewith.

My Name is : ______________________________________________
(Please print)
My Address is : ___________________________________________

City State ZIP : _________________ _______ _____________

My Birth Date is If husband and
wife membership, please give mate's date : __________________

Married Single No. of Children Religion : __________________

Occupation : ______________________________________________

Initial Gift Offering Enclosed: $25.00 $20.00 $15.00

Signed : ______________________________________________

In Addition I would like these items (checked):

Biography
shipping/handling
s/h Overseas surface mail
s/h Overseas air mail
Total

$29.95
$3.25
$8.00
$15.00
$______

Annual Cycle of Periodicity
s/h (US)
s/h + Overseas Air
Total

$15.00
$2.55
$3.55
$______

Secret of Personal Power
shipping/handling
s/h Overseas air mail
Total

$15.00
$2.75
$4.30
$______

Annual Cycle & Secret of Personal Power
shipping/handling
s/h Overseas air mail
Total

$20.00
$3.20
$5.50
$______

TOTAL AMOUNT ENCLOSED $________._____

TOTAL AMOUNT ENCLOSED $____._