{"id":154,"date":"2013-11-12T05:38:50","date_gmt":"2013-11-12T05:38:50","guid":{"rendered":"http:\/\/www.templeofthegoddess.org\/temple\/?page_id=154"},"modified":"2015-01-20T05:37:45","modified_gmt":"2015-01-20T05:37:45","slug":"temple-affiliate-application","status":"publish","type":"page","link":"http:\/\/www.templeofthegoddess.org\/temple\/temple-affiliate-application\/","title":{"rendered":"Temple Affiliate Application"},"content":{"rendered":"<p>Temple Affiliate Application<\/p>\n<p>&nbsp;<\/p>\n<blockquote><p><span style=\"font-family: Trebuchet MS; font-size: small;\">Thank you for your interest in becoming a Temple of the Goddess Affiliate.\u00a0 Please allow six to eight weeks for processing once your application is received.\u00a0 There is a non-refundable application fee of $100.00.\u00a0 You may either apply by mail, or online using our secured PayPal account.<\/span><\/p><\/blockquote>\n<p><b><span style=\"font-family: Trebuchet MS; font-size: small;\">To Apply by Mail, please:<\/span><\/b><\/p>\n<blockquote><p><span style=\"font-family: Trebuchet MS; font-size: small;\"><b>1.<\/b> Print and complete the <a href=\"http:\/\/www.templeofthegoddess.org\/PDFfiles\/Affiliate%20Application.pdf\">TOG Affiliate Application<\/a>.<\/span><\/p>\n<p><span style=\"font-family: Trebuchet MS; font-size: small;\"><b>2.<\/b> Mail your signed application along with a $100 check payable to Temple of the Goddess to:<\/span><\/p>\n<p><span style=\"font-family: Trebuchet MS; font-size: small;\">Temple of the Goddess<\/span><\/p>\n<p><span style=\"font-family: Trebuchet MS; font-size: small;\">P.O. Box 660021<\/span><\/p>\n<p><span style=\"font-family: Trebuchet MS; font-size: small;\">Arcadia, CA 91066<\/span><\/p><\/blockquote>\n<p><b><span style=\"font-family: Trebuchet MS; font-size: small;\">To Apply Online using our secured PayPal account, please:<\/span><\/b><\/p>\n<blockquote><p><span style=\"font-family: Trebuchet MS; font-size: small;\"><b>1.<\/b> Complete the following form and click Submit. A payment screen will appear.<\/span><\/p>\n<p><span style=\"font-family: Trebuchet MS; font-size: small;\"><b>2.<\/b> Click the Add to Cart button, then complete the PayPal screens.<\/span><\/p><\/blockquote>\n<form action=\"..\/_vti_bin\/shtml.exe\/Affiliates\/affiliateapp.htm\" method=\"POST\" name=\"FrontPage_Form1\">\n<div align=\"center\">\n<table id=\"table4\" border=\"0\" width=\"95%\" cellspacing=\"0\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td colspan=\"3\">\n<p align=\"center\"><b><span style=\"font-family: Verdana; font-size: small;\">APPLICATION FOR AFFILIATION WITH<br \/>\nTEMPLE OF THE GODDESS<br \/>\nFOR GROUP EXEMPT NUMBER<br \/>\n<\/span><\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Applicant Director or Minister Name:<\/span><\/td>\n<td colspan=\"2\"><span style=\"font-family: Trebuchet MS;\"> <input name=\"Applicant\" size=\"40\" type=\"text\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Applicant Home Phone:<\/span><\/td>\n<td colspan=\"2\"><input name=\"AppHomePhone\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Applicant Work Phone:<\/span><\/td>\n<td colspan=\"2\"><input name=\"AppWorkPhone\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization or Ministry Name:<\/span><\/td>\n<td colspan=\"2\"><span style=\"font-family: Trebuchet MS;\"> <input name=\"Organization\" size=\"40\" type=\"text\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization E.I.N Number:<\/span><\/td>\n<td colspan=\"2\"><input name=\"OrgEIN\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization Address:<\/span><\/td>\n<td colspan=\"2\"><span style=\"font-family: Trebuchet MS;\"> <input name=\"OrgAddress\" size=\"40\" type=\"text\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization City:<\/span><\/td>\n<td colspan=\"2\"><input name=\"OrgCity\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization State:<\/span><\/td>\n<td colspan=\"2\"><input name=\"OrgState\" size=\"2\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization Postal Code:<\/span><\/td>\n<td colspan=\"2\"><input name=\"OrgPostal\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization Phone:<\/span><\/td>\n<td colspan=\"2\"><input name=\"OrgPhone\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization Cell:<\/span><\/td>\n<td colspan=\"2\"><input name=\"OrgCell\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization Fax:<\/span><\/td>\n<td colspan=\"2\"><input name=\"OrgFax\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization Residence:<\/span><\/td>\n<td colspan=\"2\"><input name=\"OrgRes\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Official E-mail Address:<\/span><\/td>\n<td colspan=\"2\"><input name=\"Email\" size=\"30\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Organization Website Address:<\/span><\/td>\n<td colspan=\"2\"><input name=\"OrgWebsite\" size=\"30\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Board Members<\/span><\/td>\n<td colspan=\"2\"><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Name:<br \/>\n<\/span><span style=\"font-family: Trebuchet MS;\"> <input name=\"BMName1\" size=\"30\" type=\"text\" \/><\/span><\/td>\n<td width=\"23%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Title:<br \/>\n<\/span><span style=\"font-family: Trebuchet MS;\"> <input name=\"BMTitle1\" size=\"15\" type=\"text\" \/><\/span><\/td>\n<td width=\"31%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Phone:<\/span><br \/>\n<input name=\"BMPhone1\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Name:<br \/>\n<\/span><span style=\"font-family: Trebuchet MS;\"> <input name=\"BMName2\" size=\"30\" type=\"text\" \/><\/span><\/td>\n<td width=\"23%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Title:<br \/>\n<\/span><span style=\"font-family: Trebuchet MS;\"> <input name=\"BMTitle2\" size=\"15\" type=\"text\" \/><\/span><\/td>\n<td width=\"31%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Phone:<\/span><br \/>\n<input name=\"BMPhone2\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Name:<br \/>\n<\/span><span style=\"font-family: Trebuchet MS;\"> <input name=\"BMName3\" size=\"30\" type=\"text\" \/><\/span><\/td>\n<td width=\"23%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Title:<br \/>\n<\/span><span style=\"font-family: Trebuchet MS;\"> <input name=\"BMTitle3\" size=\"15\" type=\"text\" \/><\/span><\/td>\n<td width=\"31%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Phone:<\/span><br \/>\n<input name=\"BMPhone3\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"40%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Name:<br \/>\n<\/span><span style=\"font-family: Trebuchet MS;\"> <input name=\"BMName4\" size=\"30\" type=\"text\" \/><\/span><\/td>\n<td width=\"23%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Title:<br \/>\n<\/span><span style=\"font-family: Trebuchet MS;\"> <input name=\"BMTitle4\" size=\"15\" type=\"text\" \/><\/span><\/td>\n<td width=\"31%\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Phone:<\/span><br \/>\n<input name=\"BMPhone4\" size=\"10\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\">\n<span style=\"font-family: Trebuchet MS; font-size: small;\">Organization Affiliation(s):<\/span><textarea cols=\"51\" name=\"Affiliations\" rows=\"5\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><span style=\"font-family: Trebuchet MS; font-size: small;\"><br \/>\nPlease describe your organizational purpose:<\/span><textarea cols=\"51\" name=\"Purpose\" rows=\"5\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Ministry Mission\/Vision Statement:<\/span><textarea cols=\"51\" name=\"Vision\" rows=\"5\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><span style=\"font-family: Trebuchet MS; font-size: small;\">Please read the following then check all three boxes to verify you have done so:<br \/>\n<\/span><\/p>\n<table id=\"table5\" border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"3\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"20\"><input name=\"AffiliatRequest\" type=\"checkbox\" value=\"OFF\" \/><\/td>\n<td><i><span style=\"font-family: Trebuchet MS; font-size: small;\">By submitting this application, as an officer of this ministry, I certify that this ministry is<\/span><\/i><span style=\"font-family: Trebuchet MS; font-size: small;\"><i> hereby authorized and does request affiliation with Temple of the Goddess, headquartered in Los Angeles, California; and declare that we are subject to the authority thereof. <\/i><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\"><input name=\"PayPal\" type=\"checkbox\" value=\"OFF\" \/><\/td>\n<td><span style=\"font-family: Trebuchet MS; font-size: small;\"><i>I further recognize that a debit to PayPal is given herein and will be made to Temple of the Goddess in the amount of $100.00 upon submission of this application. I also understand that application process does not guarantee automatic affiliation with Temple of the Goddess.<\/i><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"20\"><input name=\"Terminate\" type=\"checkbox\" value=\"OFF\" \/><\/td>\n<td><span style=\"font-family: Trebuchet MS; font-size: small;\"><i>It is recognized that affiliation with Temple of the Goddess may be terminated at any time by an official act of either the Corporate Board of this organization or the IRS, and that such act will result in the immediate termination of affiliation.<\/i><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>&nbsp;<\/p>\n<\/form>\n","protected":false},"excerpt":{"rendered":"<p>Temple Affiliate Application<\/p>\n<p>&nbsp;<\/p>\n<p>Thank you for your interest in becoming a Temple of the Goddess Affiliate.\u00a0 Please allow six to eight weeks for processing once your application is received.\u00a0 There is a non-refundable application fee of $100.00.\u00a0 You may either apply by mail, or online using our secured PayPal account.<\/p>\n<p>To Apply by Mail, please:<\/p>\n<p>1. Print and complete the TOG Affiliate Application.<\/p>\n<p>2. Mail your signed application along with a $100 check payable to Temple of the Goddess to:<\/p>\n<p>Temple of the Goddess<\/p>\n<p>P.O. Box 660021<\/p>\n<p>Arcadia, CA 91066<\/p>\n<p>To Apply Online &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-154","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/www.templeofthegoddess.org\/temple\/wp-json\/wp\/v2\/pages\/154","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.templeofthegoddess.org\/temple\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.templeofthegoddess.org\/temple\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.templeofthegoddess.org\/temple\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.templeofthegoddess.org\/temple\/wp-json\/wp\/v2\/comments?post=154"}],"version-history":[{"count":3,"href":"http:\/\/www.templeofthegoddess.org\/temple\/wp-json\/wp\/v2\/pages\/154\/revisions"}],"predecessor-version":[{"id":955,"href":"http:\/\/www.templeofthegoddess.org\/temple\/wp-json\/wp\/v2\/pages\/154\/revisions\/955"}],"wp:attachment":[{"href":"http:\/\/www.templeofthegoddess.org\/temple\/wp-json\/wp\/v2\/media?parent=154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}