Certificate Application Form

Certificate Application Form Instructions

To place an order, print this page
then follow the link on the desired certificate.
Print: On PC Keyboard, hold the Control button & Press P (as in Print). Mac: Command P.

REQUIRED: Please print legibly and remember to sign the document. Indicate your choice with a check mark for the prefered certificate.
You may one or more.

(     ) Religious Ceremonial Certificate for weddings, joinings, rites & more. $40 minumum donation - $0 S&H ----- Donate

(     ) Religious Cannabis Believer Certificate for rites, offerings and prayers. $40 minumum donation - $0 S&H - Donate

(     ) Perform Gay / Lesbian Union / Marriage Co-Join Certificate. $40 minumum donation - $0 S&H --------- Donate

Name: ______________________________________________________________________________________________________________
as it will appear on the certificate(s)

Name: ______________________________________________________________________________________________________________
full legal name

Title: ______________________________________________________________________________________________________________
as it will appear on the certificate(s)

Date: ______________________________________________________________________________________________________________
that will appear on the certificate(s)

Name ______________________________________________________________________________________________________________
I have the sincerely held religious belief that I am...

a Title ______________________________________________________________________________________________________________
I agree to Ma’at (Truth and Justice) and will refrain from doing any harm.

______________________________________________________________________________________________________________
Signature:

______________________________________________________________________________________________________________
Mailing Address:

______________________________________________________________________________________________________________
Phone Number

______________________________________________________________________________________________________________
E-mail Address:

______________________________________________________________________________________________________________
Make an online donation or place a check, money order or cash and this document in a stamped envelope addressed to:
Pr Ntr Kmt, c/o michaelm,1024 Bayside Dr. #420, Newport Beach, CA 92660-7462, U.S.A.
All applications are reviewed and placed on the altar to await the light of the full moon, as she has done on all our ancestors. Application forms are approved and then processed. So depending on the time of month we receive your application, you must allow a minimum of 7 days to 6 weeks for delivery. If you want to rush the process please check the appropriate box on the application form.

per netcher kemet temple of divine in kemet	Donate Now	neter sentra a sacred religious belief
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