Serra Clubs, District 10

Archdiocese of Galveston-Houston

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Membership Form

- Membership

Ready to become a Serran?

Please fill out the form completely, to submit your information to a Serra Club Membership Chair. You will be contacted directly with additional information regarding dues, meetings, and various topics related to your membership.

Become a member of the Serra Club today!

* indicates required

Email Address *

First Name

Last Name

Address

Address Line 2

City

State/Province/Region

Postal / Zip Code

Country

Home Phone Number *

Business Address

Address Line 2

City

State/Province/Region

Postal / Zip Code

Country

Cell Phone Number

Parish Name *

Pastor's Name *

Club Membership *

Sponsor's Name(s) (if applicable)

Birthday
/ ( mm / dd )