Connecticut Irish American Historical Society
Membership Application Form
Name:
Application Type

Donation:(Tax Deductible)   

Total Amout Enclosed          


County Affiliation(s)    /  

Street:
City:   
State:   Zip:
Telephone:
Email:
My Irish-American Interests are:
(check boxes below)

Genealogy       Photography
Folklore          Oral History
Literature        Drama
Fund Raising   Computers
Publications     Field Trips
Exhibits          Library


Send your application along
with your check to:

Connecticut Irish American Historical Society
P.O. Box 185833
Hamden, CT. 06518

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