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                                        -23-
       
       
                                      OFFICIAL         [Illustration:  a 
                                 DISCORDIAN SOCIETY    flaming eye-in-the-
                                      HAIL ERIS        pyramid]
       
                              APPLICATION OF MEMBERSHIP
       
                  In the Erisian Movement of the DISCORDIAN SOCIETY
       
       1.  Today's date                        Yesterday's date
       
       2.  Purpose of this application: -- membership in   a. Legion of
           Dynamic Discord   b. POEE   c. Bavarian Illuminati   d. All
           of the above   e. None of the above   f.  Other -- be SPECIFIC!
       
       3.  Name:  __________________________.  Holy Name:  _________________.
       
           Address:  _______________________________________________________.
          If temporary, also give an address from which mail can be forwarded
       
       4.  Description:  Born [ ] yes [ ] no.  Eyes [ ] 2 [ ] other.  Height:
        
           _____ fl. oz.   Last time you had a haircut:        
       
           Reason:  __________________________________.  Race:  [ ] horse
           [ ] human.  I.Q.:  150-200  200-250  250-300  over 300.
       
       5.  History:  Education -- highest grade completed  1  2  3  4  5  6
           over 6th.  Professional:  On another ream of paper list every job
           since 1937 from which you have been fired.  Medical:  On a 
           separate sheet labeled "confidential," list all major psychotic
           episodes experienced within the last 24 hours.
       
       6.  Sneaky questions to establish personality traits:
           I would rather   a. live in an outhouse   b. play in a rock group
       
           c. eat caterpillars.  I wear obscene tattoos because _____________
       
           _________________.  I have ceased raping little children [ ] yes
       
           [ ] no -- reason:  ______________________________________________.
       
       7.  Self-portrait
       
                                                         +------------------+
       SENDER WAITING!                                   |   LICK HERE!     |
       Answer by wire                                    |       ()         |
                                                         | (You may be one  |
       Rev. Mungo                                        | of the lucky 25) |
       For Office Use Only -- acc. rej. burned           +------------------+