Copy this registration form, fill it out, and mail it to Mistyc House at 816 West Francis #244, Spokane, WA 99205 or fax it to (Fax # Pending) if you're using a credit card. Any questions?..... Write us at: business@mistychouse.com |
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Name ____________________________________ | |||||||||||
Phone (_______)___________________________ | |||||||||||
Donation Amount $_________.______ E-Mail ______________________________ | |||||||||||
Address _____________________________________________________________ | |||||||||||
City ______________________ State _______________Zip ____________________ | |||||||||||
Check _________________ Money Order _________________ Cash ____________ | |||||||||||
Credit Card # ______________________________ Exp. Date __________________ | |||||||||||
Why I want to be a member: _____________________________________________ | |||||||||||
What I can do personally to heal the planet with Humor:______________________ | |||||||||||
Our Sacred Vow | |||||||||||
"I Promise To Spread An Epidemic Of Joy And Laughter Wherever And Whenever I Can." | |||||||||||
"I Vow To Look For The Cosmic Joke In Everything That Upsets Me, Or Makes Me Angry!" | |||||||||||
"I Have Read And Almost Memorized "Our Sacred Code," And Give It My Full Consent, Agreement, | |||||||||||
And Commitment. I Understand That My Lifetime Membership Can Expire Only If I Do!" | |||||||||||
Signature _________________________________Date_______________________ | |||||||||||
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If you can figure out what Hal is laughing about, send in your speculation with this registration form and get an extra Bumper Sticker...Free!