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Membership Dues Form

Contact Information

Name

First Name

Last Name

Phone *

Email *

Verify Email *

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Name Of Theresian Community *

Covenant Commitment

Covenant Commitment Dues *

$100

Additional Contributions

I would like to make a contribution to the THERESIAN SCHOLARSHIP FUND to help support my sisters worldwide who need assistance with their dues.

$100

$50

$25

$

I would like to make a contribution to the THERESIAN ANNUAL FUND to help nurture, affirm, and empower women to become the people God intends us to be.

$100

$50

$25

$

Add 3% to my total amount to help cover the payment processing fees