JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
St. Shenouda the Archimandrite Coptic Society - Membership
Society Membership Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Title
*
Choose
Prof.
Dr.
Mr.
Ms
Fr.
Rev.
Bishop
Mother
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Address 1
*
Your answer
Address 2
Your answer
Address 3
Your answer
City
*
Your answer
State/Province (if applicable)
*
Your answer
Zip Code or Postal Code
*
Your answer
Country
*
Your answer
Type of Membership
*
Choose
Member (including Coptica) ($50)
Fellow Member (including Coptica) ($75)
Retired Member (including Coptica) (over 65 years old) ($30)
Student Member (NOT including Coptica) ($20)
Journal Subscription (Coptica)
Choose
US Address
Canada
Other Countries
Coptic Heritage Online Subscription
Choose
Student ($30 per year)
Member ($40 per year)
Non-Member ($70 per year
Email Address
*
Your answer
Telephone
Your answer
Area of Interest
Coptic Language
Coptic Literature (Patristics)
Coptic History
Coptic Lives of the Saints (Hagiography)
Coptic Magic
Coptic Canon Law
Coptic Documentary texts
Coptic Art or Architecture
Coptic Gnosticism or Manichaeanism
Other:
Knowledge of Languages (other than English)
Coptic Bohairic
Coptic Sahidic
French
German
Ancient Greek
Italian
Latin
Arabic
Ge'ez
Syriac
Other:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report