Application Form (American Dollars)

The Automated Membership Application Form
For Payments in American Dollars

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Please enter the information requested in the following boxes. Asterisked items are required in order for the Membership Application Form to be processed. If any of the asterisked items are left blank, you will receive an automated message indicating that the application did not succeed.

*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:

Fax:

*Type of membership and subscription schedule: (Please Note: the reduced "Monastic" rate is only for persons under monastic vows)

*Amount being remitted for annual dues: Refer to subscription schedules above:

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

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/FORM_dollars.html

The Automated Membership Application Form For Payments in American Dollars

The Automated Membership Application Form
For Payments in American Dollars