All Associates of the Hubbard Association of Scientologists are requested to submit the following data to the HAS.

The period covered for this data is from the time of beginning operation or from January 1, 1953, whichever is the earlier, to September 1, 1953. All data should be inclusive of January 1, 1953 and September 1, 1953 for all business. Those Associates who began business later than January 1, 1953 should report on their actual beginning of operations to September 1,1953.

NAME OF ASSOCIATE:

CORRECT OPERATING ADDRESS:

TOTAL NUMBER OF STUDENTS ENROLLED FOR ANY COURSE OF ANY KIND:

TOTAL NUMBER OF STUDENTS GRADUATED TO HCA OR B. SCN:

GROSS INCOME FROM TRAINING:

TOTAL SUM (CALCULATED ON BASIC CONTRACT PERCENTAGE IN FORCE) OWING TO HAS:

WHAT PART OF SUM ALREADY PAID (LIST ALL PAYMENTS AND AGENCIES TO WHICH PAID):

SUM NOW DUE AND OWING TO HAS AND ENCLOSED HEREWITH:

ATTACH A COMPLETE LIST OF ALL STUDENTS ENROLLED WITH THEIR HOME ADDRESSES SO THAT THEY CAN BE PUT ON PAB AND JOURNAL LIST.

Signature:

RETURN THIS REPORT AND SUM OWING TO DATE IF ANY TO THE HUBBARD ASSOCIATION OF SCIENTOLOGISTS, 4 MARYLEBONE HIGH STREET, LONDON W. 1, ENGLAND. DO NOT PAY TO ANY OTHER ADDRESS OR AGENCY.

As of this date, Associate Schools of the Hubbard Association of Scientologists will cease to receive gratis the Professional Auditor’s Bulletin; Associate Schools and members of the staff of Associate Schools are requested to submit with a payment of $28 — and $10 extra if airmail delivery is desired — their application for professional membership as an organization or as individuals. Business done by some Associates is too slight to warrant further expense from this office, and free PAB service cannot be continued to such agencies.