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THE CHURCH OF SATANHATE2001 Please fill Out the Form Below For Membership. Name____________________________________________________________ Nickname:________________________________________________________ Address__________________________________________________________ City____________________________ State Or Pov._______________ Zip Or Postcode___________ (All Required) Email:_____________@____________________________ Secondary Email _________________@_______________ Phone Number( )___________________________ Secondary Number ( )__________________________ Website Address _____________________________________________________ Occupation__________________________________________________________ (all information provided above held confidential) I agree as a member (Apprentice) or (Reverend) to if I chose to resign to do so in writing no later than 10 days prior to resignation, Email copy is not accepted nor is Telephone Resignation. I also agree to Not Forward T.C.O.S.H.2001. Information to anyone other than others in the Organization, and thus the Organization agrees to the same. I agree to inform my Master or Priest or Grand Magister of any or all Web Site references to the T.C.O.S.H.2001 and agree to provide a Link to the The Church Of Satan2001 home site. As a Reverend I shall be provided a E-mail Address satanhate2001@aol.com and I agree to not misuse this E-mail address, it can however be cancelled at anytime is property of the The Church Of Satanhate 2001 INITIALS __________ DATE______________ IF EMAILED TYPE IN SIGNATURE _____________________________________________ ALL RIGHTS= THE CHURCH OF SATANHATE 2001 PLEASE ALLOW UP TO 3 WEEKS TO PROCESS.....HIT SUBMIT