Are you going to be sending a Donation with your application? 

Real Name 

Address 

City,St,Zip 

Date of Birth  Sex 

Magickal name 

Years of Study 

Systems Studied 

What is your Religious Path? Satanism, Luciferianism, other? 

Why did you chose the House of Demonic? 

Religious/Magickal Afffiliations 

Personal Religious Beliefs 

Do you perform Rituals? If so what kind of Homage/Magick? 

Are you seeking to be pubically active? 

Would you like to be put in contact with others in your area?