Spiritual Path Sign-up Form

Santa Rosa

Contact Information
First Name *
Last Name *
Email *
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Street Address 2
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Credit Card Information
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Card Number *
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Expiration Year *
Start Month (if avail)
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Product Purchase Plan
1 Payment of $600.00
Total amount of $50.00 charged today,
11 Payments of $50.00 remaining.
Total Amount You Pay Right Now

I have read and agree with the Creed of the Church of Divine Man. I am committed to
myself and to reaching my goals and will be using the church as a catalyst to obtain
these goals. I also agree to support my sanctuary by using psychic kindergarten tools,
matching the energy, and honoring our agreement of 'be on time', 'no drugs' and 'psychic
manners'. This is the spiritual agreement I make with myself and my church.

I have read and understand the terms of this agreement.
(Enter your initials)