Fellowship of Isis Membership Application Form
To join the Fellowship of Isis through the Lyceum of Eleusis, print out and complete this form, then mail to Eleusis at the address below.
NAME:_________________________________________________________________________________________________________
______________________________________________________________________________________________________________
ADDRESS:______________________________________________________________________________________________________
CITY:____________________________________STATE:__________________________POSTAL CODE_______
COUNTRY:_____________________________________________________________________________
TELEPHONE NUMBER:__________________________
EMAIL ADDRESS:_________________________________________________________
I wish to become a member of the Fellowship of Isis. I have read the Fellowship of Isis Manifesto, and agree with the tenets therein.
SIGNATURE;:____________________________________________________________________________________________DATE;
Tell us a little about yourself... your background, spiritual paths, what you are hoping to find in FOI, and whatever else you think is important for us to know (maybe also including astrological info). Attach another page if necessary.
Membership is free, but donations are appreciated. Checks may be made outto DEENA BUTTA
. Send to: Lyceum of Eleusis, 3334 W. Eastwood Ave., Chicago IL 60625 USA
