CWPN Membership Application

 


This application should be filled out online, then printed and mailed to the address at the bottom.

 

Legal Name
Address
City/State/Zip
Phone Number
E-Mail
Date of Birth

If you are under 18 yrs of age you must have written parental consent)

How did you hear about us?
I consider myself
What Denomination
if any
Talents I would happily
volunteer to the organization
I am looking to join a coven or study group

please use back of form to describe the kind of group you are seeking and your own level of experience.

I have a group which would welcome new members

please use the back of this form to describe the group

Please include a check in the following amount:
Basic Membership: $10.00 Make payments with PayPal - it's fast, free and secure!
Deluxe Membership: $25.00 Make payments with PayPal - it's fast, free and secure!
Family membership: $40.00 (2 or more people living in the same house/apartment) Make payments with PayPal - it's fast, free and secure!
Coven Membership: $50.00 (up to 13 people, same coven) Make payments with PayPal - it's fast, free and secure!

CWPN; PO Box 871; Bethel CT 06801