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Membership Form


Thinking of joining the Irish Society of Kentuckiana?
We welcome new members!

Name:
Address:
City, State & Zip:

Home Phone:
Work Phone:
Cell Phone:
Email Address:
Occupation:

Name you are called:

Birthday:
Spouse:

Spouses Birthday:
Children under 18:

Date of application:

Type of Membership:

***
Please note that a family membership is issued
to a couple or single parent and their dependents
under the age of 18, or college students under
the age of 23.

Mail your check for membership dues to:
Irish Society of Kentuckiana, Inc.
PO Box 6812
Louisville, KY 40206

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