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Subscriptions

To subscribe as a Druze financial member, please fill out the below form – online payment can be made.
Only Druze members by birthright are eligible to be financial members.
If a payment is made by a person not deemed eligible to be a financial member the funds will go as a donation unless a refund is requested.

Step 1 of 3

How many adults?*
How many students over 18 years old?*
How many pensioners?*

Adults
Enter Adult Name*
First Last
Enter Adult Name*
First Last
Enter Adult Name*
First Last
Enter Adult Name*
First Last
Students over 18 years old
Enter Student Name*
First Last
Enter Student Name*
First Last
Enter Student Name*
First Last
Enter Student Name*
First Last
Pensioners
Enter Pensioner Name*
First Last
Enter Pensioner Name*
First Last
Enter Pensioner Name*
First Last
Enter Pensioner Name*
First Last

Subscription Payment Details
Payment Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Total subcription fee
$ 0.00
Credit Card*

Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Subscriptions

Step 1 of 3

Adults

Students over 18 years old

Pensioners

Subscription Payment Details