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Automated Membership Application Form
For Payments in American Dollars


© Copyright 2017 The Friends of Mount Athos. All rights reserved.

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Canadian Members Paying in Dollars: Please note that rates are quoted in American dollars. Payments by banker's check or money order should be made out in American dollars if possible. We can accept personal checks written in Canadian dollars, but we ask that you please adjust your payment for the current discount rate if paying by checks in Canadian dollars.

Please fill out all three required parts of this form: Your Addressing & Contact Information, Your Subscription, and Your Remittance.
Asterisks identify information that is required in order for your order to be processed.
Upon completion you should see a confirmatory copy of your application.


1. MY ADDRESSING & CONTACT INFORMATION

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









2. MY SUBSCRIPTION


3. MY REMITTANCE

I understand that my order will not be filled until my payment has been received.
I will submit my remittance by mail to FoMA's Treasurer for the Americas:
Mr. Roger McHaney, Treasurer
The Friends of Mt. Athos in the Americas
2810 Kelly Drive
Manhattan, KS    66502
U.S.A.


$


$


$


4. COMMENTS


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Maintained for the Friends of Mount Athos by
Robert W. Allison
Dept. of Religious Studies, Bates College
Address:
45 N. Saunders Rd.
Greene, Maine 04236

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