Application Form (American Dollars)

Automated Membership Application Form
For Payments in American Dollars

Switch to Membership Application Form for: Payment in British Pounds | Payment in Euros

Canadian Members Paying in Dollars: Please note that rates are quoted in American dollars. Payments by banker's cheque or money order should be made out in American dollars. We can accept personal cheques written in Canadian dollars, but we ask that you please adjust your payment upwards to cover the current discount rate if paying by personal cheques in Canadian dollars. Currently, a cheque for twenty-five dollars Canadian to pay for an annual renewal is discounted about $1.00. Cheques in Canadian dollars for other amounts should be increased proportionally, that is, pro-rated at the rate of about $1.00 for every $25 of face value.

Please enter the information requested in the following boxes. Asterisked items are required in order for the Membership Application Form to be processed. Upon completion you should see a confirmatory copy of your application.

*Applicant's E-mail address:

*Full Name preceded by title (Mr., Mrs., Dr., Prof., Rev., etc.):

*Street Address:

*City and State or Province:

*Postcode & *Country:

*Telephone (numerals only, no spaces or dashes):

Fax:

*Subscription (Type of Membership) and Subscription Schedule: (Please Note: the reduced "Monastic" rate is only for persons under monastic vows.)

*Amount in American dollars being remitted for subscription: (Refer to subscription schedules above.)

dollars

Amount in American dollars being remitted in addition as a donation to the Friends' efforts on behalf of the Holy Mountain:

dollars

How did you hear of the Friends?

Please describe in a few words the nature of your interest in the Holy Mountain. There is no need to write anything here, but we should be interested if you feel like telling us:

You may now: when done, or
if you want to start over.

Return to:

Maintained for the Friends of Mount Athos by
Robert W. Allison
Dept. of Philosophy & Religion, Bates College
Lewiston, Maine 04240

http://www.athosfriends.org/membership/FORMApplyDollars.shtm

Automated Membership Application Form For Payments in American Dollars

Automated Membership Application Form
For Payments in American Dollars