FELLOWSHIP OF ISIS TITLE REGISTRATION FORM Please note: you may only register your own title if you are unable to contact your Sponsor, or your Sponsor is unable to submit the information for you.  Please include a copy of your certificate with this form. Sponsor Information (The person who issued the certificate) Sponsor Name:___________________________________________________________________________ Sponsor Address:___________________________________________________________________________ ____________________________________________________________________________________________ ___________________________________________________________________________________________ Sponsor FOI Center: _____________________________________________________________________________ Sponsor E-Mail Address: _____________________________________________________________________________ New Title Information Legal Name of Person Receiving Title: _____________________________________________________________________ Title Received: _______________________________________________________________________________________ Date of Consecration: ____________________________________________________________________________________ Address of Person Receiving Title: _____________________________________________________________________________ _________________________________________________________________________________________________________ _______________________________________________________________________________________________________ E-Mail Address: __________________________________________________________________________________________ If this is a priesthood registration, provide the date of the Ordination Rite: ________________________________________________ If this is a priesthood registration, name the Dedicatory Deities with the Matron Deity listed first: ______________________________________________________________________________ (Priest / esses may only be registered after their year-and-a-day waiting period has passed.  Please also note: registration of an ordination with the Fellowship of Isis does not imply any legal ministerial authorization.  Priesthood in the Fellowship of Isis is of a spiritual nature only.) If this is an Alchemical Priest / ess registration, please include the date of the original Priesthood ordination: ___________________________________________________________________ Please include any further comments or instructions on the back of this form. Send the form to: Rev. Demetria Nanos Lyceum of Eleusis & Alexandria 6122 S. Kenwood Ave. Chicago, Illinois  60637 USA