Church of the Ancient Ways
Membership Application

Your Name:

Your Craft Name:

Preferred Name:

Email Address:

Residential Address:

Telephone:

Cell Phone:

Occupation:

Webpage:

Age:

Gender:

Membership:

Are you new to Paganism?
Yes:No:

What will be your goals as a Member of Church of the Ancient Ways?:


   


Please send copies of 2 forms of ID, (one must be photo ID) with a money order for your Annual Membership.  Your application can not be processed until your ID and payment is recieved.  Make money order payable to Church of the Ancient Ways of Maryland.

Send to:
Church of the Ancient Ways
c/o K. Jones
1610 Frenchs Avenue
Baltimore, Maryland 21221

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