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Name : _______________________
Age : _________________________
Address : ______________________
Phone Number : ________________
Email : ________________________


Are you a Brotherhood of Satan member ?_______________

Do you represent another Satanic Organization ?_____________

 

 

Fill out these questions above and mail them to the below address along with your

Festival Registration Contribution Fee in the form of a

United States Postal Money Order or Bank Money Order made payable to David DePaul.

Festival Registration Fee:

Members $200

Non-Members $250

Brotherhood National Office
P.O. Box 232
Toccoa, Georgia 30577
USA

Registration Form

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