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The Pamphlet Collection of Sir Robert Stout: Volume 20

Form of Application to be Filled in by Persons Desiring to Become Members of the Aurelia Co-Operative Land and Labor Association

Names of Applicants and Family. Age. Where Born and Nationality. General Health. Trade or Profession. Early Religious Training. Education. Read. Write. Arithmetic. Other Acquirements. How long an adherent of the Harmonial Philosophy. What phases of Faith passed through during past life. In what Occupatior you would like to be engaged. If ever addicted to any vice, and if you have outgrown it. If able to contribute full amount at once, or by Instalments. State motives for Making this Application. To The Secretary Of The External Council. I present myself as above stated for Membership in your Association, (Signed) Address

Form of Application to be Filled in by Persons Desiring to Become Members of the Aurelia Co-Operative Land and Labor Association.