First Name Required Last Name Required
Address Line 1 is Required
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City is Required
Country is Required
State/Province is Required
Zip/Postal Code is Required
Phone is Required
Your City & Province is Required
Age Group is Required
Spouse Name is Required
Year and Month of Death is Required
Emergency Contact Name is Required
Emergency Contact Phone is Required
How did you hear about us? is Required
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Password Strength  Password must be "Medium" or stronger

Select Payment Method

Stripe

Please send the full amount to widowedfriendsltd@gmail.com (auto deposit) Please allow 24-48hrs for manual payment processing. As soon as your payment is process you will be granted access to the membership site and you will receive the Welcome Email with instructions on how to login.
 
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Pay Widowed Friends

$100 / Year
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Widowed Friends Distance Membership – Initial Payment

$100 / Year

$100.00
Total $100.00