Membership Form

Application for Membership

Harp and Shamrock Society of Texas
Your Name

First NameLast Name
Spouse Name

First NameLast Name
Home Phone # (Landline)
Format: (000) 000-0000.
Your Mobile Phone #
Format: (000) 000-0000.
Spouse Mobile Phone #
Format: (000) 000-0000.
May we send texts to your number?
May we text your spouse's number?
Your email
example@example.com
Spouse email
example@example.com
May we include your email address in our member directory?
May we include your spouse's email address in our member directory?
Names of Child(ren) and their age(s)
Please separate each child with a comma (,)
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please briefly describe your Irish background, if known.
Your Irish Background (please type n/a if not known)
My Products
prevnext( X )
Individual Annual Membership
$20.00



Family Annual Membership
$35.00



Benefactor Annual Membership
$200.00



Patron Annual Membership
$500.00



Lifetime Membership
$1,000.00



Individual Senior (70+) Membership
$5.00 Quantity



Total

$0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Application for Membership