Q /o u are (Envilecí l> .

y

s (ÜLáR,osicrucians
to unite with them in their jascinating researches, investigations, and studies of the universal iaws of nature and the mysteries of lije in every branch of human improvement and development.

THEREFORE. . . Tou are cordially requested to subm.it this Cuestión'
naire, with your personal answers, so that the Dean of Students and the Directors of Education and W catión may ta\e the proper steps to admit you to Student Membership and prepare The Way for your proper place in the Rosicrucian System of personal progress and attainments.

T

he

M

e m b e r s h ip

C

o m m it t e e

of AMORC

STRICTLY CONFIDENTIAL
(Picase Wríte Answers Plainly with Pert and In \)

Date of Birth?.........................................
(Day, Month, and Ycar)

Sex?. Race?...

Place of Birth?.................................. Religión in which you were born?. Present church affiliation, if any?.... Married?. Occupation?. What is the extent of your education?. Have you any Academic or Honorary Degrees?. Number of children?.

Have you been a student of any Mystical, Metaphysical, or Spiritual Philosophy, and how long?.___________________________________ Are you a member of any Secret, Fraternal, or Philosophical Societies? Do you affirm your conviction of the existence of a Supreme Ruler, Divine Mind, or God?........................................................................... Do you pledge your allegiance to the present laws of the Consté tution while they exist?.......................................................................... . Are you prepared to consider with an open mind all new facts re' garding life and the Universe?................................................................. (Signature).................................................................................................
(Full T^ame as Christened) N O TE:—If you have a recent snapshot or photograph of yourself we would appredate receiving it. Size not to exceed three inches by five inches.

ACCEPTANCE OF TH IS INVITATION Please Read Ver y Carefully
To th e R e c o r d i n g S e c r e t a r y o f th e G r a n d L o d g e o f A M O R C of North and South America, A M O R C T e m p l e , San José, Calif. Respected Sir: I hereby accept your cordial invitation to unite with the Rosicrucians in their researches, studies, and individual experiments, as outlined in your literature. If I am found worthy of receiving the First Principies and prívate studies, I will abide by the ancient pledge made by all Neophytes, to wit: “I will \eep confidential all reading matter, lessons, and discourses sent to me, and will carefully examine them to determine each step I am to ta\e in being prepared for a more practical and masterful position in Life.” In accordance with the ancient custom, I herewith dónate and endose Five Dollars as a contribution to T H E R O SIC R U C IA N FO U N D A T IO N , and will voluntarily dónate and contribute to this Foundation the sum of Two Dollars monthly, beginning with the first month after I have been accepted into the organiz,ation. This I will voluntarily continué as long as I desire membership as an Active Student. It is understood that if I am accepted, I shall receive weekly dis' courses, monographs, and prívate papers, and the monthly magazine, and enjoy all the benefits of Membership, without the payment of any fees or charges except the voluntary contributions to the Foun­ dation, as stated above. It is further understood that if accepted my membership shall be exclusively in the Grand Lodge of A M O R C and my rights and interests confined thereto. If I am not accepted, I will be confidentially notified by the return of this Questionnaire and my donation. (Make checks or money orders payable only to “AMORC Funds” )
(Do not send currency in unregistercd letters)

(Signed).......................................................................................... -..........
(Spell your name as it should be used on all mail)

Address for all Mail— Print Your 'Words:

FOR

YOUR

DECLARATION

(Use this space to State your motive in petitioning for Rosicrucian Membership) IM PORTANT—YO UR M OTIVE M U ST BE STA TED

Be Sure to Send Your Remittance with This Application.

TH IS SPACE RESERVED FOR RECORDING NOTATIONS
Rec’d................................ Approved......................................................... Membership Entry..................................... ........................ ...................... REMARKS

P R I N T E D IN U . S . A .

Matriculation N o ....................................... Key..... ....... .........

TH E

ROS1CRUCIA.N QRDER S SUPREME’
R O S IC R U C IA N PARK

TE M P LE
SAN JO S E .

FOR

NORTH

A M E R IC A

C A L IF O R N IA

W. M. Kohler 414 Brdwy., Rochester , N. Y. Dear Mr. Kohler:

Feb. 10, 1936

You have written to the Scribe of the Rosicrucian Brotherhood, asking for our SealedL Book. Let that serve as our introduotion. The book is enclosed. I only wish that I could deliver it to you, personally, so that I could meet you and talk with you about your ambitions and desires, and Tiow the Rosicrucian teachings will make them possible for you. Are you weary of reading books that tell you about the wonderful things accomplished by the master minds of the past? Are you tired of hearing what can be done with the raystic laws of mind and matter, without being told how YOU can do these things, easily and surely? If you are like thousands upon thousands of others, you will want to be MASTER of your own life, your own career. You will cease believing the fantastic tales of the adepts of the Far East and the Mystics of the Orient, and will demand that you be shown how to perform these great demonstrations of occult power. For ages man has accepted the doctrines of church and school on faith. Today man demands the KNOWLEDGE of the methods for self demonstration. His life and his fate are in his own making. He no longer believes that God has damned some to hell and elevated others to Heaven before birth. He wants to rise, master, succeed and create for himself. He has discovered that it is his Divine Heritage. Telling him that it is possible for m a n ’ mind to accomplish miracles without explains ing how and revealing the secret laws, has brought discouragement, sorrow, failure, and doubt into the hearts of millions.

2

Lecturers, teachers, writers and self—appointed guides continué to talk about what CAN BE DONE, and leave a host of hopeful but blind searchers for the knowledge that is practical. Perhaps you ask yourself,wIs there some truth in the claims made and stories told? Can I learn whether there is truly an unusual knowledge, a secret power?" READ THE SEALED BOOK CAREFULLY. When you have finished, d o n ’ wonder.... "sha11 I look into this t further?"....that hesitancy is one of the very things that holds back so many in attaining their ideáis in life. Why let time and circumstance shape the course of your life? Just as the sun, moon, and planets are governed by definite laws, so you, too, are sub.ject to certain natural principies. Understand the funda­ mental laws of life which affect you, direct them, and bring into realization your innermost desires. _____ I M u g h .this.. i a .on l y .a .brlef.-imtling-- oiLjriiat, THE ROSICRUCIANS can do for you in your search for the higher things in life, this letter constitutes an invitation to you to avail yourself of the further opportunities presented in the book. Let me hear from you soon, not only out of courtesy because of the invitation, but because you have at last decided to awaken those qualities that will make life what you wish it to be. Written this day in faith by,

FROM

AMORC
ROSICRUCIAN PARK SAN JOSE, CALIFORNIA
RETURN POSTAGE G U ARANTEED

Strictly Personal and Prívate

From

AMORC, Rosicrucian Brotherhood Rosicrucian Park San José, California, U.S.A. Supreme Secretary

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