Renewal Form

Renewal of Membership

Harp and Shamrock Society of Texas
Your Name*

First NameLast Name
Spouse Name

First NameLast Name
Home Phone (Landline)
My Mobile Phone #
Spouse Mobile Phone #
May we send texts to your number?

Yes, please!No, thanks.
May we text your spouse's number?

Yes, please!No, thanks.
Your email*
example@example.com
Spouse email
example@example.com
May we include your email address in our member directory?

Yes, please!No, thanks.
May we include your spouse's email address in our member directory?

Yes, please!No, thanks.
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
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.
My Products
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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

Payment Methods

Debit or Credit Card

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

Renewal of Membership