First Name
Last Name
Are you dominantly of
Northern European descent?
Parental
Race or
Subrace :
Press
the link to your left
if you are not sure
Father's
Nationality
and/or Race
Example:
Nationality: English Race:
Anglo Saxon
pick below
Nordish
White, not Hispanic, not Oriental, not Southern European
German
French
Anglo Saxon
Other
Please type at least one in:
*
Mother's
Nationality
and/or Race
(see
example above)
pick below
Nordish
white, not hispanic, not oriental, not southern european
German
French
Anglo Saxon
Other
Please type at least one in:
*
Single or Married
Male
or Female
Please click the
appropriate link above and copy and
paste, or write your own marital
status testimony
Age
Email Address
Street or
*
City
*
State or
Province
*
Country
*
Zip
*
Phone
*
Fax
*
Trade or
Profession
pick below
Trucker
Office Worker
Carpenter
Engineer
Seaman
Professor
Legal Profession
Other
Please type in your work:
*
Do you belong to any
other organizations?
* If yes, type in the organization;
if no, write "no"
All founder-partners who
give an equivalent of $1000 or more
will have their names inscribed on a
commemorative tablet.
Are you willing to give
an initial
investment ?
$1 ,
$100 ,
$1000 , $10,000, $100,000, MORE, PROPERTY, OTHER
* If "yes", please enter
amount or what type of gift ;
otherwise write "no".
Using your own words,
please type in the form box that you
understand the prerequisites .
* Example: "I have read and
understand the four doctrinal
points", or
"I have read, understand, and am
willing to adhere to the
prerequisites."
(Don't copy the exact words above.)
Comments or questions