CAWeb - Online Membership Application

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First Name:

Last Name:

Magical Name:

Today's Date:

Birth date:

Age:

Street or PO Box:

Phone Number:

City:

State or Province:

Zip or Country Code:

Country:

Your Email Address:

Website URL:

Marital Status

Partner(s)' Name(s)

Gender

Number of Children:
Boy(s) Girl(s)

Occupation

Education

Special Skills, Knowledge, etc.

Special Interests

What other organizations do you belong to?

How would you describe your spiritual/religious path/tradition?

Have you previously been a member of CAW?
Yes No        If yes, when were you a member?

Do you still consider yourself to be a member? Yes No

If you were previously a member, please check below...
If you were a Seeker:       If you were a Scion:      If you were Clergy:

If you were previously a member, had you been involved with a Nest?
Yes No            If yes, which nest(s), where?

If you left CAW in the past, please explain why.

Why are you joining CAW now?

What do you like most about CAW?

What would you most like to change about CAW?

What do you feel is the most valuable contribution the CAW has to offer to the World?

All Moneys US$

Membership Categories (Check your Choice)

Membership Category: Regular Supporting Contributing

Individual Membership*: $20 annually $40 annually $80 annually

Family Membership*: $18/person $36/person $72/person

   $    ANNUAL DUES as checked above
   x          Number of family memberships being requested
                              Family Member Names:

  $ TOTAL being submitted