Please print the form below, fill it out, and mail it to the Lyceum of Eleusis, 3334 W. Eastwood Ave., Chicago IL 60625..
Thank you!
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Please enroll me in the Manifesto Lessons class.
Please check:_____ I want to participate in person
_____I want to participate by correspondence through the postal mail
_____I want to participate by correspondence through email
_____I am a member of the Fellowship of Isis
_____I want to join the Fellowship of Isis through the Lyceum of Eleusis (click here for membership form: www.foichicago.org/membership.html)
NAME:______________________________________________________________________________
ADDRESS:___________________________________________________________________________
CITY:______________________________________________STATE:___________________ZIP:______
PHONE NUMBER:________________________________________
EMAIL ADDRESS:__________________________________________________________
Please send me section one of the Manifesto Lessons. I am aged eighteen years or older.
SIGNATURE:_____________________________________________________DATE:_________________