HOMECONTACT

 

 

 

 

 

 

 

 

 

The Irish-American Society of the Oranges
Membership Application
Name (Mr):
Date of Birth:
Place of Birth:
Irish Ancestry:
  
Prefix (Miss/Mrs):
Name (Miss/Mrs):
Date of Birth:
Place of Birth:
Irish Ancestry:
  
Address:
City:
State:
Zip:
Phone #:
Email:


By clicking 'Submit' below, I/We, being of Irish birth or extractions, do declare that the statements contained herein are complete and true. I/We understand that if I am/We are accepted by the Irish-American Society of the Oranges and that any of the statements contained herein are false, my/our membership(s) could automatically be terminated. I/We further agree to uphold the By-laws and all regulations of the Irish-American Society of the Oranges and to support its activities and further its principles.

Current dues $15.00 per year. Husband & Wife $20.00 per year.
DUE BY SEPTEMBER OF EACH YEAR.



 

 

 

 
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