Club Membership Registration Form

Celtic Heritage Alliance Membership Registration

Complete the form below to sign up for our membership service.
Name*

First NameLast Name
E-mail*
Phone Number:

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date:*

MonthDayYear
Where did you hear about us?*

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SHIRT SIZE (Adult Unisex)

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My Products*
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Annual MembershipJoin today and support the Celtic Heritage Alliance!
$35.00

LifetimeBecome a lifetime member of the Celtic Heritage Alliance today!
$500.00

Total

$0.00

Payment Methods

Debit or Credit Card

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

Celtic Heritage Alliance Membership Registration