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SERRA PHILLY STORE

Home
Club News
What We Do
Donate
SERRA PHILLY STORE

JOIN NOW

Join Now

We pray ... We act ... We spread the Word.

Become a Serran

Complete the form below to join the Serra Club of Philadelphia!
Open the attached document to see what your dues support.

WHAT YOUR DUES DO

Title (Mr., Mrs., Ms., etc.)

Name *

First

Last

Email *

Would you like to join our email list? *

Yes
No

Primary Phone Number *

Primary Phone Type *

Cell Phone
Home Phone
Work Phone

Secondary Phone Number

Secondary Phone Type

Cell Phone
Home Phone
Work Phone

Address *

City *

State *

Zip Code *

Home Parish *

Home Parish City *

Pastor's Name *

Spouse Joining *

Yes
No

Spouse Name *

First

Last

Spouse Email *

Phone Phone

Please select the appropriate annual dues amount: *

Individual Annual Dues - $100.00
Married Couple Annual Dues - $150.00
35 years of age and younger - Individual Annual Dues - $50.00
35 years of age and younger - Married Couple Annual Dues - $100.00

I will pay by: *

Check - mailing address will be provided in your confirmation email
PayPal through this form

I would like to cover my credit card fees for this transation.

Yes
No

Credit Card Fees

Price: $0.00

Total

$0.00

Please pay your dues:

Card Number

Expiration Date

Security Code

Card Holder Name

Join Now

Become a Serran

Complete the form below to join the Serra Club of Philadelphia! Open the attached document to see what your dues support.

Complete the form below to join the Serra Club of Philadelphia!
Open the attached document to see what your dues support.