Application Form (Euros)

Automated Membership Application Form
For Payments in Euros

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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.):
optional title	first_name	last_name

*Street Address:

*City and State or Province:

*Postcode & *Country:

*Telephone (no national access codes):

*E-mail address:

2. MY SUBSCRIPTION

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

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 Membership Secretary:

Mr. Peter Lea
The Stables
58 Manor Road
Woodstock, OX20 1XJ
England

*Amount in Euros being remitted for subscription: (Refer to subscription schedules above.)
€

Optional Donation to Support the Friends' Efforts on Behalf of the Holy Mountain:
€

*Total amount in Euros being remitted:
€

4. COMMENTS

How did you hear of the Friends?

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

CHECK OUT

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
45 N. Saunders Rd.
Greene, Maine 04236

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

Automated Membership Application Form For Payments in Euros

Automated Membership Application Form
For Payments in Euros