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JamesPayne
Site Admin
Joined: 17 Feb 2006
Posts: 215
Location: Rochester, NY
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 Posted: Thu Feb 23, 2006 12:29 pm Post subject: Membership Application |
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Irish American Cultural Center of Western NY Membership Application
Contact Information
Name
Street Address
City ST ZIP Code
Home Phone
Work Phone
E-Mail Address
Interests
If you are interested in participating in any of the following committees, please note which ones:
___ PR
___ Events
___ Building
___ Fundraising
___ Performing Arts
___ History and Culture
Special Skills or Qualifications you are willing to share for our development
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
Signature
Individual Membership is 25.00 per year. Please make checks payable to: Irish American Cultural Center of WNY. Mailing address is: P.O. Box 18416, Rochester, New York 14618. 585-234-ERIN
Name (printed)
Signature
Date |
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