H O L D   H A R M L E S S   A G R E E M E N T   P R I N T A B L E   F O R M 

By my signature below I ask to be a Study Group Coordinator (SGC) and agree to abide by the Conditions of Acceptance for SGCs. Further, I agree to "hold harmless" all of the administrative people associated with the Study Group Program (SGP) from any and all liabilities or damages arising from my participation in the SGP. In other words, I will not make any legal claims related to the SGP against the people of Society of Novus Spiritus; both for known and unknown claims or damages. This release of liability is intended to be as broad as allowable under the laws of California.

I have carefully read this agreement and the Conditions of Acceptance, and fully understand its contents. I am aware this is a release of liability and contract between myself and Society of Novus Spiritus and sign it of my own free will. I am over eighteen years old.

Please print this page two times, once for your records and once to be filled out and mailed in with the payment. To return to the registration page click your "Back" button once or click on this link Registration Group Study.





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Signature

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Date

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Print Name

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Home Phone Number

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Work or Cell Phone Number (please specify Work or Cell Phone)

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Address

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City

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State / Region

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Zip / Postal Code

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Country

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Email Address

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Best Time To Call

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May we call you at Work? Yes______ No______

Date Of Birth ______

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Other Fluent Languages Spoken

Monthly Recordings Every Month you will receive a copy of a spiritual message presented at a Novus Spiritus Church Service on Audio Cassette Tape or Audio Compact Disc (CD). Please specify which format you would like to receive.

Audio Cassette Tape ______ Audio Compact Disc (CD) ______
Payment Information
If paying by check or money order: Check# ________________ Amount $20.00

Make check or money order payable to: Society of Novus Spiritus. Please make a reminder for yourself to send in your monthly charter fee at the beginning of each month, we will not be sending a bill.

If paying by Credit Card:

Name on CC:

____________________________________________________

CC#: ______________________________________________

exp date: ___________

Credit Card CID#: ___________ (REQUIRED) Please Note: The CID # on Discover, Visa and Mastercard is on the back of the card. On American Express it is a four digit code on the front of the card.

We will bill $20.00 to your CC account.

______ Yes, I would like to have my CC automatically billed each month ($20.00 Charter Fee) and have my monthly tape mailed to me. Indicate "Yes" by putting a check mark on the "Yes" line.

Study Group Information

Form New Study Group
Willing to host a group of 2 or more_______

Single Study Group
Start studying on your own________

Place a check mark on the appropriate lines.

I am willing to accept New Members into my Study Group________

I am NOT willing to accept New Members into my Study Group________