THIS FORM TO BE COMPLETED BY ALL THOSE WHO BELIEVE THEY QUALIFY FOR EXEMPTION FROM THE GREAT COMMISSION AND UNDER COMMON LAW FROM ACTS 1:8.

FULL NAME____________________________________________________
ADDRESS (Present)______________________________________________
          (Future)_______________________________________________

Please mark with a “CROSS”
___ I am completely and utterly incapacitated in mind and body
___ I have received nothing, so I have nothing to give
___ I don’t like this law
___ All my friends appear to have been exempted
___ I need time to consider it and hereby apply for a 30 year deferment
___ Having completed a 30 year deferment, I am applying for an extension
___ My ship sails for Joppa at 5 tomorrow
___ God hasn’t told me, personally about this law
___ It’s against my deepest personal convictions
___ I have (delete) married a wife/brought a field/bought a yoke of oxen
___ My boss won’t release me from work
___ I get travel sickness
___ They must have enough by now
___ My mother told me to stay away from Highways and Byways
___ I have difficulty communicating with (delete)
        (a) young people
        (b) people from other ethnic groups
        (c) people from my ethnic group
        (d) people who keep quoting Matthew 28 to me.

Further information is available in the following statutes and by-laws...
Mark 16:15; 2 Corinthians 5:19; Matthew 24:14; Mark 13:10; Luke 24:47; Acts 26:18 and Revelation 5:9

NOTE: This form should be presented at your interview with the “Lord of Lords” who will determine your eligibility for exemption
 

SIGNED _____________________________________ DATE_______________
(Space for the signatures of the hosts of witnesses is provided in a book)