Amherst Irish Association

Cumann Gaelach Amherst

PO Box 2791
Amherst, MA 01004-2791
Website: amherstirish.org
E-mail: amherstirishassociation@gmail.com

Membership Application

Membership continues annually from January 1 through December 31.

Individual membership - $25
Student membership - $10 (requires copy of student ID)
Corporate membership - $100*
Membership entitles the holder to:

A membership card.
Mailings and/or e-mail notification of upcoming events.
Free entrance to events sponsored by the Association.
Notification of any area events that may be of interest to members.

* Corporate applicants should contact the Association directly at amherstirishassociation@gmail.com.

-------------------------------- -------------------------------- --------------------------- ------------------------------(Tear or cut along this line)

Yes, I would like to become a member of the Amherst Irish Association. With this application, I agree
to receive mailings or newsletter material via e-mail from the Association.**

NAME: __________________________________________________________________________

ADDRESS:_______________________________________________________________________

HOME or CELL PHONE: ___________________________________

E-MAIL ADDRESS: _______________________________________________________________

DATE: __________________________________________________________________________

Payment of $25.00 in the form of cash or a check (payable to Amherst

Irish Association) should accompany this individual application.
** Information provided on this application will not be released or published without the
applicants express consent.