Irish-American Club of St. Clair County Membership Application
2007-2008
Name:
Address 
City:  State:  Zip: 
Phone:  Email: 

IRELAND COUNTY of

ORIGIN IF KNOWN:

Membership Type:Individual ($20)     Couple ($30)    Family ($35)   Corporate ($100)
DATE PAID:________________ CHECK NO:________ RCVD BY:___________

 

Mail to: Marianne Campbell c/o The Irish Rose Gift Shoppe. 207 Huron Ave., Port Huron, Mich, 48060,
bring it to the next monthly meeting, or drop it off at the Irish Rose.

Make the check out to the Irish-American Club of St. Clair County