- Registration Form -

Please provide the following information for our records.  


Annual dues are $100. Not bad for supporting a great cause in different ways! As you will see below, there flexible and affordable options
for every budget. Please select your option

Full Name  

PAYMENTS $100 (Regular)
Mailing Address   Annual $100 one time
City, State, Zip   Semi-Annual (debit)  $50 down/$50 in 6 months
Phone   Quarterly (debit) $25 down/$25 every 3 mo (3X)
E-Mail Address   Monthly (debit) $17.50 down/$7.50 every mo. (x11)
Occupation   *For a discount, check any which apply to you:
or Business
  Full-time student. Where?
Until when?
Birthdate   2 or more children enrolled at IWA.
Year graduated
or years attended
  Currently teaching at or retired from IWA/VM OR religious/clergy member
      Have donated at least $500 to IWA in the past 12 months

You may print this form and send it to our office with your check. The address is Advancement Office, Incarnate Word Academy,
200 Resaca Blvd., Brownsville, TX 78520.

If you wish to pay online, you will need to complete and submit your Registration Form. After you submit follow the link to the secure payment area where you need to type your name and Alumni Dues in the
Apply to: field. Then complete the process.


PAYMENTS $50 (Regular)
  Annual $50 one time
  Semi-Annual (debit)  $25 down/$25 in 6 months
  Quarterly (debit) $12.50 down / $12.50 every 3 mo (3X)
  Monthly (debit) $6 down / $4 every mo. (x11)


244 Resaca Blvd.  ~  Brownsville, Texas 78520  ~  Phone: 956-546-4486 ~  Fax: 956-504-3960
2016. Incarnate Word Academy.  All rights reserved.