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NEW INITIATE DETAILS

THIS FORM IS FOR ENTERING THE DETAILS
OF NEWLY INITIATED PEOPLE.

ONLY USE IT IF EITHER YOU ARE AN ORGANISER, OR
TO RECORD YOUR OWN USE OF THE VEDIC MANTRA
INITIATION RECORDING.

Please fill in this form as completely  
as you can. All details are important.  
Many thanks for your help.                  

We will keep everything confidential.

If you have several people to enter,    
click on the "New Initiate Details"        
button on the "Thank You" page.        

 

First Name:      
Last Name:      

Street:      

City:      
State:      
Country:      
Post Code:      

Ntl Tel Code:      
Home Tel.:       -
Work Tel.:       -
Mobile:      
Skype:      
Email:      
Retype Email:      
Website:      

Occupation:      
Date of Birth:      

VEDIC MANTRA                              
Initiated on dd-mm-yyyy:      
Initiated by:      

Your Comment     to us:    

Produced by The Awakening Network Inc.,
P.O. Box 271, Seymour,
Victoria 3661, Australia.
Telephone: +61 3 5793 8477 (International)
Email: contact@awakenw.net
Website: www.awakeningnetwork.net