Declare that I am a member of the Holy Catholic Church and that I conform to her Discipline and Precepts, and desire to be admitted a MEMBER of the Society of Mary and hereby PROMISE to fulfill the Conditions and Undertake to Promote the Objects and keep the Rules of the Society.
Address (block letters) ______________________________________________________________________
_______________________________________________________________________________________
Date______________________ (Signed) _______________________________________________________
Address__________________________________________________________________________________
Parish/Appointment_________________________________________________________________________
(this form has been printed from the website http://societies.anglican.org/anglocatholic/som)
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