APPLICATION
FOR MEMBERSHIP (Use your browser to print this
form)
Being in sympathy
with the Three Objects, I hereby apply for admission as a member of the
Theosophical Society:
APPLICATION FOR MEMBERSHIP
Being in sympathy with the Three Objects, I hereby apply for admission as a member of the Theosophical Society:
Signature________________________________________________________Date________________________________
Signature of legal guardian if under 18 years of age _________________________________________________________
Dues can be paid by check, money order, or credit card: _____ VISA _____ MasterCard _____Discover
Card #_____________________________________________________________Expiration date_____________________
(Along with the 16 digit #, the additional 3 digit ID # on the back of card is required for processing.)
Signature required (for credit card payment) _____________________________________________________
1-year membership—$45 2-year membership—$85 3-year membership—$125
Please send my series of New Member Letters in: English _________ Spanish_________
Name________________________________________________________________Birthdate________________________
Address_____________________________________________________________________________________________
City_________________________________________________State__________________Zip_______________________
Phone_________________________________Fax__________________________E-mail____________________________
How did you learn of the Society?________________________________________________________________________
If you have belonged to the Society before, please complete the following line:
Name used______________________________When____________________________Country_____________________
Note: If the applicant is applying through a lodge or study center other than the National Lodge, the president or secretary of the group must complete and sign this section, then forward this form, along with the applicant's current national dues, to the National Secretary.
Name of Lodge or Study Center__________________________________________________________________________
Signature of group officer___________________________________________________________ Date________________
-- National Center Use Only --
Signature of national officer_________________________________________________________ Date________________
Certificate #______________________Date___________________Affiliation_________________Dues________$________
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Dues |
Basic Membership $45 a year
This entitles you to all membership benefits and makes you a member of the Theosophical Society in America. In addition, you may also join the National Lodge or a local Lodge or Study Center, as described below.
Student under the age of 25 $24 a year
A student under the age of 25 is eligible for reduced dues. To qualify for this reduction, you must attach a copy of a valid student I.D. card or other proof of your student status.
Member of a Local Lodge or Study Center Consult your local group for its dues information
To belong to a local group, you must first belong to the National Society. An officer of the local group must sign this form and send it with your basic membership dues to the National Secretary. For information about the location of such local groups, search www.theosophical.org, or contact info@theosmail.net.
Life Membership $1,100
In appreciation for a donation of $1,100 to the Membership Endowment Fund, you become a Life Member of the Theosophical Society in America. Your donation is invested, and the income from it is used to pay your basic membership dues for the rest of your life. Payments may be made in one lump sum or on a prearranged schedule of $50, or $100 a month. For more information, please contact the Membership Office at membership@theosmail.net.
National Lodge Consult the National Lodge office for its dues information
Regardless of where you are located, the National Lodge can provide you with an enriched study experience in Theosophy. Through a series of self-study papers sent by mail or e-mail, you will explore a variety of topics also being studied by other members. For opportunities to interact directly with other individuals, members of the National Lodge are encouraged also to join a local group if one is located in your area. For information on the current study and how to sign up, search www.theosophical.org or contact
natlodge@theosmail.net.
Membership Benefits
Your membership includes . . .
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