Enrollment Form




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THE THEOLOGICAL SCIENCE SOCIETY
Division of
THE HUGH G. CARRUTHERS FOUNDATION
Post Office Box 722
Cary, Il 60013

CLICK HERE FOR A PRINTER FRIENDLY VERSION

I want the advantages of membership in THE THEOLOGICAL SCIENCE SOCIETY, Int. and I understand and appreciate the fact that maintenance and operation of this Fellowship and Its Course of Training for Personal Development is dependent upon my regular monthly Gifts or Free Will Offerings to The Theological Science Society, and I hereby agree to active compliance therewith.

My Name is : ______________________________________________
(Please print)
My Address is : ___________________________________________

City State ZIP : _________________ _______ _____________

My Birth Date is If husband and
wife membership, please give mate's date : __________________

Married Single No. of Children Religion : __________________

Occupation : ______________________________________________

Initial Gift Offering Enclosed: $25.00 $20.00 $15.00

Signed : ______________________________________________



Suggested initial Gift Offering

suggested donation monthly
suggested donation quarterly
semi annual donation option 1
semi annual donation option 2
other
$20
$60
$120
$240
$???



NOTE: This enrollment application does not constitute a contract, and your enrollment will be treated confidentially. THE THEOLOGICAL SCIENCE SOCIETY, Int. reserves the right to refuse, or to terminate the Fellowship of any Applicant, or any Member.