The Fraternity of St Genesius
Membership Application Form
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Christian Name *
Last Name *
Address line 1 *
Address line 2
Town/ City *
State/ Region/ County *
Country *
Zip code/ Postal Code
Telephone No. (Landline)
Mobile/ Cell phone
E-mail Address *
Confirm E-mail Address *
Please Select *
You must be a Christian to become a member of the Fraternity of St Genesius
Select Membership *
Baptized and confirmed Catholics who have reached the age of 15 are eligible for Dedicated Membership.
Do you wish to receive "Fraternitas"? *
"Fraternitas" is the free Fraternity of St Genesius periodical.
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