Renewal Form

Harp & Shamrock Society of Texas Renewal of Membership
Your Name *

First Name Last Name
Spouse's Name

First Name Last Name
Names of Child(ren) and their age(s)
Please separate each child with a comma (,)

Address *

Home Phone (Landline)

Area Code Phone Number
My Cell Phone

Area Code Phone Number
Spouses Cell Phone

Area Code Phone Number
May we send you text messages?

Yes!
E-mail address *
May we include your email address in our member directory?

Yes!
Please Indicate Type of Membership: *

Individual Annual Membership ( $ 20.00 )

Family Annual Membership ( $ 35.00 )

Senior Membership* (see footnote) ( $ 5.00 )

Benefactor Annual Membership ( $ 200.00 )

Patron Annual Membership ( $ 500.00 )

Lifetime Membership ( $ 1,000.00 )

Total $ 0.00
Volunteers are always needed! If you are interested in serving the society, please indicate your areas of interest:
Note: DUES MUST BE PAID BY MARCH 17 IN ORDER TO VOTE OR RUN FOR OFFICE.
* The Harp & Shamrock's By-laws were amended by voting members on Sept.19, 2015 to remove the Senior Privilege dues of $5 individual dues for those members aged 70 or older. However, members who were paying Senior dues in 2015 were “grandfathered in,” and may continue to pay the reduced rate if they so desire.
Should be Empty:

Harp & Shamrock Society of Texas Renewal of Membership