Prize claim form
Mar 15, 2006 07:18 AM
Grand prize winner of deluxe voodoo doll with extra pins to guard
against stray IP numbers that can be traced. Deluxe voodoo doll is
shipped with extra cheerleading costume, special forces galactica
badge and four-color ID card.
THE WINNER: JERRY HEYKA-EKINS
SPECIAL PRIZE CLAIM FORM
Social Security #
Street Address with zip code (post office boxes not accepted):
Date of birth and hometown:
Year first attended kindergarten:
Ranking in graduating class of highest degree attained:
In 200 words or less, please explain you how you will use the deluxe
voodoo doll and your plans for the future.
I hold Krsanna harmless of any and all voodoo artifacts, intentional
or accidental, that I understand the importance of the equilibrium
of the Kosmos, and will use my deluxe voodoo doll with pins and
extra cheerleading costume with the respect and diligence they
I hold harmless Krsanna and all theosophists if I get caught spying
for any government or military force.
SIGNED: ___________________________ DATE: ______________________
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Dedicated to the Theosophical Philosophy and its Practical Application