PST Board of Trustees Annual Dues Registration & Donations

Board of Trustees Annual Dues

and Donations

Phillips School of Theology

at the Interdeminational Theological Center

700 Martin Luther King, Jr. Drive

Atlanta, GA 30314
Title
Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Cell Phone Number*

Area CodePhone Number
My Products
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Annual Dues $500.00

Annual Dues$1,000.00

Annual Dues (Other Amount) 2$25.00

Quantity

Annual Dues (Other Amount) $100.00

Quantity

Donations (increments of $150)$150.00

Quantity

Total $0.00
Should be Empty: