We will be happy to contact you to provide additional information about the American Temple.  All completed forms will be emailed immediately upon submission for review by one of the American Temple directors or teachers.  Thank you so much for visiting us.

  1. Please provide us with some basic contact information. All fields are optional, but we would appreciate as much as you feel comfortable providing.

    First Name
    Last Name
    Middle Initial
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Work Phone
    Home Phone
    FAX
    E-mail
    URL

  2. If you were a member of the Holy Order of MANS, please provide your Order name.


  3. Any additional HOOM information (e.g. brother, sister, priest, Christian Community member, etc).


  4. Baptized in traditional church?

    Yes No

  5. Please check any of the Initiations received:

    Baptism
    Illumination
    Realization

  6. Please check any ordinations received:

    Sub-Deacon              Deacon                  Minister Priest         Archpriest            
Bishop                  Brother/Sister Teacher  Mastery

  7. Please list any past or present affiliations (e.g. IHSM, Brown Brothers, Science of Man, Christ the Savior Brotherhood, Gnostic Order, Christian Community, AMORC, church, et al):


  8. Please enter any other information you would like to share with us:


  9. Would you like to be contacted by one of the American Temple directors or teachers?

    Yes No


Copyright © 1999 American Temple. All rights reserved.
Revised: March 28, 2003