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* 1. First and last name

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* 2. What religion were you raised with?

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* 3. What religion do you consider yourself now?

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* 4. Why do you want to learn magick?

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* 5. Have you had any magickal training prior to this? If yes, please describe.

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* 6. How much do you want to pay per module to learn magick? (this is a 13 module course that should take you 13 months to complete)

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* 7. What is your email address?

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