Certificate Application Form
Print: On PC Keyboard, hold the Control button & Press P (as in Print)
On 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 choose all 3. For delivery of multiples add only $1 S&H charge.
( ) Rush my Certificate within the continental U.S add $20 for S&H
( ) Rush my Certificate out of the continental U.S add $30 for S&H
( ) Religious Ceremonial Certificate for weddings & more... $30 minumum donation + $10 S&H = $40
( ) Religious Cannabis Certificate for rites and prayers... $30 minumum donation + $10 S&H = $40
( ) Gay Union Certificate... $30 minumum donation + $10 S&H = $40
Name: ___________________________________________________________________________________________________________
as it will appear on the certificate(s)
Name: ___________________________________________________________________________________________________________
full legal name
Title: ____________________________________________________________________________________________________________
Date: ____________________________________________________________________________________________________________
that will appear on the certificate(s)
I, Name __________________________________________________________________________________________________________
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, 340 Old Newport Road #7, Newport Beach, CA 92663, U.S.A..
All applications are reviewed and placed on the alter to await the light of the full moon to share Her "White Light Magick" on your certificate request, as she has 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.
