Automated Membership Application Form
For Payments in American Dollars


©2007 The Friends of Mount Athos. All rights reserved.

Switch to Membership Form for Payment in British Pounds Sterling

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. 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 & 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:

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

Responses to the Friends of Mount Athos may be sent by e-mail to

Dr. Graham Speake, hon. secretary
Prof. Robert W. Allison, Membership Secretary for the Americas
Responses may also be sent by post addressed to:
Dr. Graham Speake
Ironstone Farmhouse, Milton, Banbury
OX15 4HH England
(fax: 01295-722047; from the U.S.A.: 011-44-1295-722047)

or:

Robert W. Allison
Dept. of Philosophy and Religion
Bates College
73-75 Campus Avenue
Lewiston, Maine, 04240 U.S.A.
(fax: 207-786-6401) 

http://www.bates.edu/~rallison/friends/FORM_dollars.html