Home Address ____________________________________________________
Number and street City State ZIP
Phone: (H)_______________(W)______________ Cell ____________________
E-mail Address: ___________________________________________________
Special Interest(s): Music___, Dance___, Genealogy___,
History___, Other ______________________________________________
Check all that apply. If "other" describe.
What Activities would you like to help with?
Social Events___, Programs___, Publicity___, Membership___, Public Speaking___,
News Letter ___, Fund Raising_____, Other_______________________
Check all that apply. If "other" describe
Yearly Dues: Family Membership: $25.00, Single $15.00, Associate (Non-Voting)
Guests and Visitors are FREE, and always welcomed.
This application form must accompany your check for annual dues.
Make Check Payable to: Irish Cultural Society
Mail to: Irish Cultural Society, 247 Patricia Dr.,San Antonio TX 78216
PRINT THIS PAGE, Fill it out, and mail it in.