Clergy Travel
Application Form
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If you would like to join Clergy Travel, fill out the form below and press the send button.
We will charge your Credit Card for $75.00. ($50.00 a year plus the initial $25.00 setup fee.)
Remember to send us two (2) passport size photos.
We will not be able to start your membership until we receive them.
 The address again is: Clergy Travel, 1443 Del Prado Blvd., Cape Coral, FL 33990.
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Your name:
Your Company:
Street:
State:
Zip Code:
Country:
Phone:
Fax:
Email:
Social Security Number:
Credit Card Number:
Exp. Date:

I acknowledge that this is my credit card and authorize you to charge $75.00 to my account.
Click Here: Yes No
Comments:


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