MEMBERSHIP REGISTRATION

Please complete this form and submit it as indicated at the end.

Membership will become effective and a membership card(s) issued once payment is received. Payment should be mailed to: ICS, c/o Dave Wilson, 19 Linden, 31-33 Merrion Road, Dublin 4.

Please note that the basic medium for ICS communications is e-mail : info@irishcanadiansociety.net

Annual Membership Fees are:

€40 - two adults living in the same household
€25 - individuals
€15 - students 18 and over.

NAME(S)
up to 2 adults per household

student

EMAIL ADDRESS(ES)

preferred:  
additional:  

POST ADDRESS

TELEPHONE NUMBERS

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