Thank you for your interest in membership in the Ecumenical Society of the Blessed Virgin Mary. Please print out and complete the application below and send it with a check for dues of $20, made out to ESBVM, to:

Secretary of the ESBVM
Oblate College
391 Michigan Avenue, N.E.
Washington, D.C. 20017

Should there be later changes in your address or other membership information, please be sure to send it to the Secretary as soon as possible.

Ecumenical Society of the Blessed Virgin Mary

 

MEMBERSHIP APPLICATION

(Please print)

__________
Title

_______________________________________
Name

_______________________________________
Street

_______________________________________
City, state, zip code

_______________________________________
Home phone

_______________________________________
Work phone

_______________________________________
Fax

_______________________________________
E-mail

_______________________________________
Religious affiliation

_______________________________________
Occupation

_______________________________________

 

Annual membership dues............$ 20.00

Additional donation to the Society______

Total............................................$______

All monetary contributions are tax-deductible.

Membership is renewable annually on May 1.

Date___________________________________

Signature _______________________________

(Additional optional information in the next column)

 

Please mark any of the following that would appeal to you:

TALKS:

__ Theological

__ Church history

__ Mary in liturgy/prayer

  __Devotional Marian shrines

  __Marian pilgrimages/trips

  __Interchurch dialogue

__ Mary in the arts (which?)______________________

_____________________________________________

_____________________________________________



EVENTS:

__  Quiet days   __ Music

__ Other (what?) ______________________________

_____________________________________________

_____________________________________________

 

Would you be willing for your name to be shared with other Society members in your geographic area?

__Yes __No

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