APPLICATION FOR FELLOWSHIP IN THE THEOSOPHICAL SOCIETY, by K7ox31

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									                                                        THE THEOSOPHICAL SOCIETY
                                                       International Headquarters: ADYAR, Chennai 600 020, India

                               APPLICATION FOR FELLOWSHIP - Canadian Theosophical Association
                                                 Canadian Theosophical Association, Elaine Pederzolli, National Secretary
                                                 3519 Spruce Drive, S.W. Calgary, Alberta. T3C 3A5
                                               Tel: 403-217-6934   Email: CTA.Secretary@rogers.com

Objects of The Theosophical Society:
           To form a nucleus of the Universal Brotherhood of humanity, without distinction of race, creed, sex, caste or colour.
           To encourage the study of Comparative Religion, Philosophy and Science.
           To investigate unexplained laws of Nature and the powers latent in man.

Having considered the Three Objects of the Theosophical Society and being in sympathy therewith, I hereby apply for
admission as a Fellow of the Society, and agree to abide by its Rules.


Signature....................................................................................................Date. (DD)................(MM)..............20....…..


Signature of Parent or Guardian - if the person is a minor…………………………………………………………….......

[Print in square letters]

Name..............................................................................................................................................................................

Address..........................................................................................................................................................................

Municipality.............................................................................................................................Province………...............

Country (if other than Canada)......................................................................... Postal Code……………………………..

Telephone...........................................Cellular....................................Email..................................................................

Our society does not publish a member’s directory. If applying for member-at-large status [not attached to a lodge or
study group], do we have your permission to share your name with other members in your area? Yes □ No □

Have you ever been a member of this society? If so under what name?.......................................................................

And in which period............................………….……………....Country....................................................……………....

Note: If your application for fellowship is made through a lodge or study group, the secretary of the group will fill this section and shall forward
the application form with the national dues to the Canadian Theosophical Association (CTA]. Note that later on, with a simple request made
through the national secretary, you may opt to become a member-at-large instead of connected with the present group.

Name of Lodge or Study Group…………………………………………………………………………………………………...

Secretary of the group................................................................................................Date...................................……….

Section to be filled by the national officer of CTA who shall forward this application to TS Headquarters, Adyar.

Certificate No:..................................... Recorded on date of: [DD]..............[MM]................[YY].............................

Signature of national officer of the Canadian Theosophical Association................................................................

Note: The national fee is set at $25.00 per year - which covers the period from May 1 and ends on April 30 of the following year. Any application
form received during the period from January to April 30, benefits from this period without cost. To be accepted, the application form shall be
mailed to the president along with the annual national dues made payable to CANADIAN THEOSOPHICAL ASSOCIATION.

								
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