PrNtrKmt Donation Center
Pr Ntr Kmt Certificate Application Form
Instructions
Print only one page. Then follow the link on the desired certificate and donate.
to Print
On PC Keyboard, hold the Control button & Press P (as in Print). Mac: Command P.
Required
Please print clearly and legibly - remember to sign and seal the document.
Check the desired certificate. You may order one or more of each.

  (     ) Certificate of Ceremony
    Official Pr Ntr Kmt - Certificate

  (     ) Certificate of Marriage
    Official Pr Ntr Kmt - Certificate

(     ) Religious Cannabis
    Religious Right to Grow - Certificate

  (     ) Cannabis Believer
    Official Pr Ntr Kmt- Certificate

  (     ) Cannabis Clergy
    Official Pr Ntr Kmy - Certificate

(     ) Religious Hemp
    Religious
Right to Grow - Certificate

____________________________________________________________________________________________
 Name: as it will appear on the certificate(s)
____________________________________________________________________________________________
 Name: full legal name
____________________________________________________________________________________________
 Title: as it will appear on the certificate(s)
____________________________________________________________________________________________
 Date: of revalation or understanding - as it will appear on the certificate(s)
____________________________________________________________________________________________
 Name: I, ___ have a sincerely held religious belief and I follow the law of Ma’at
____________________________________________________________________________________________
 Signature: I agree to Ma’at (Truth, Justice and Balance) and will refrain from doing any harm
____________________________________________________________________________________________
 Date of Birth
____________________________________________________________________________________________
 Mailing Address
____________________________________________________________________________________________
 Phone Number
____________________________________________________________________________________________
 E-mail Address

End Form
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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 did our ancestors. Application forms are approved and 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 so as to alert our processing and make the appropriate donation.

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