Membership Application


All information received is kept confidential and is protected against unauthorized access.  

Leave the initial text as it is.  Do not remove any fields.

Provide an accurate response in each field.  False answers are grounds for immediate termination of membership.

Leave nothing blank.  If you do not want to include certain information, simply say so in that field.

If you have any questions, do not include them here.  Questions should be presented separately.

Send completed application to your referring member or to the Applications email address listed at http://illuminati-order.com/contact.html for processing.  Updates should be submitted in the same manner.


 1. Preferred pseudonym: 

 2. Real name: 

 3. Email address: 

 4. Date of birth (Year-Month-Day): 

 5. Country: 

 6. State/Province/Etc.: 

 7. City: 

 8. Spoken languages: 

 9. Written languages: 

10. Talents, skills and abilities: 

11. Interests and goals: 

12. Current occupation: 

13. Describe the nature and purpose of the Illuminati Order.

Answer: 

14. Explain why you want to join the Illuminati Order and what you hope to accomplish as a member.

Answer: 

15. Attach a recent photograph of yourself.