ROYAL EAGLE PRIEST BROTHERHOOD OCCULT
MEMBERSHIP FORM
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We invite you to the noble role of the Royal Eagle Brotherhood Occult, where charisma and elites are championed with achieved goals and objectives for its membership, in creating this online destination, we strive to bring order to the world embattled with chaos and lack lighting a candle for all who travelled the path as the night reaches its darkest point. TheRoyal Eagle Brotherhood promises to turn you around and make you famous and rich by expelling hardshipof poverty that slaims against the unprivilleged society, each step forward brings you closer to the joy of Abundance.
Full Name:............................................................................................................................ Date Of Birth :........................................................................................................................ Nationality:............................................................................................................................ State:................................................................................................................................... Gender:.................................................................................................................................. Phone No:............................................................................................................................... Occupation:............................................................................................................................ Marital Status:......................................................................................................................... Annual / Monthly Income:.......................................................................................................... Mail / Email Address:................................................................................................................. Residential Address:.................................................................................................................. Nearest Bus-stop / Landmark:..................................................................................................... City / Town :.......................................................................................................................... Account Name:....................................................................................................................... Bank Name:............................................................................................................................ Account Number:...................................................................................................................... Applicant Signature And Date
Restrictions: Applicant must be above 18 years of age prior to applying of filling the application for otherwise application shall be void.