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APPLICATION FORM
Mail To:
New Mexico Institute for Spiritual Studies
P.O. Box 112
Glorieta, NM 87535-0112 (USA)
Applicant Info: (Please Print Clearly)
Name:
Address:
City,
State and Zip:.
Phone:
e-mail:
Date of Birth:
I am making application for:
Enrollment in NMISS PROGRAM (name of program)____________________________
Enrollment in COURSE (name/number of course)____________________________
I have enclosed copies of my college transcripts and/or other appropriate documented information. ( )
I have enclosed the enrollment/tuition fee(s) of
[ $ ]______________*
[ $ ]______________*
( ) Bank Check ( ) Personal Check ( ) Money Order
* Make payment in U.S Funds payable to: BOL-NMISS
Foreign Students contact NMISS at "brolight@pecos-nm.com" regarding Payment before submitting payment
I want to consider Ordination: YES - (__) NO - (__)
Signature of Applicant:
Date:
Note: If the applicant has any additional information which is pertinent to this admission request, please write it on a separate
sheet of paper and submit it with this application form.
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