APPLY FOR MEMBERSHIP

APPLY FOR MEMBERSHIP
Thank you for your interest in becoming a member of the Irish Heritage Society of Milford. Applications are approved at the IHSM Board meeting on the 2nd Tuesday of the month.

Application fee and dues are required before approval.

There is a one-time application fee required for new or re-joining* members. The application fee is the equivalent of 1 year’s membership:

$110 SINGLE: $55.00 application fee + $55.00 dues

$100 SENIOR: $50.00 application fee + $50.00 dues

$140 FAMILY: $70.00 application fee + $70.00 dues

$120 FAMILY SENIOR: $60.00 application fee + $60.00 dues

*Any past member (a member who has let their paid status lapse) who wishes to rejoin at any time, will be required to complete an application, and pay the application and dues fees.
Please fill out the below form. Select your dues category from the pull-down menu, based on the above guidelines. Your application will be reviewed by the IHSM Executive Board at the first month's Board meeting after receipt of your payment. The Executive Board meets the second Tuesday of every month.

MAIL PAYMENT TO:

IHSM

Attn: Membership

131 Bridgeport Ave.

Milford, CT 06460
Choose Membership Type: *
All prices include one-time application fee
Your Information:

(Fill out for Single or Family Memberships)
APPLICATION

New ApplicantRejoining Past Member
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Birth Date

MonthDayYear
Date
Your Irish Heritage:

(Fill out for Single or Family Memberships)
Email
example@example.com
Contact Number

Area CodePhone Number
Occupation/Profession
Enter the message as it's shown*
Below, please evidence your Irish Heritage by indicating your family's surname and their relationship to you (ie. grandfather/great grandmother) and The Irish County they are from.

The application will not be processed without this information. We do not accept DNA reports.
Your Irish Heritage*

Irish Family SurnameRelationship to youIrish County
Additional Irish Heritage

Irish Family SurnameRelationship to youIrish County
Additional Irish Heritage

Irish Family SurnameRelationship to youIrish County
If you are applying for Single Membership, skip the next section
Only fill out spouse and children's information if you are applying for a FAMILY MEMBERSHIP
Family Memberships:

(Only fill in spouse and children's information if you are applying for a FAMILY MEMBERSHIP)
Spouse's Name

First NameLast Name
Spouse's Email
example@example.com
Spouse's Cell

Area CodePhone Number
Spouse's Birth Date

MonthDayYear
Date
Spouse's Occupation
Spouse's Irish Heritage

Irish Family SurnameRelationship to youIrish County
Child #1

NameBirth Date
Child #2

NameBirth Date
Child #3

NameBirth Date
Child #4

NameBirth Date
Please read the IHSM Bylaws and Clubhouse Rules.

ACCEPTANCE AND POSSESSION OF AN IHSM MEMBERSHIP CARD ACKNOWLEDGES THAT THE MEMBER HAS READ AND AGREED TO ABIDE BY THE CLUB'S HOUSE RULES.
Volunteers are the core of IHSM.

The continued success of our Club depends on the

dedication and service of its Members.

All Members are expected to volunteer for the

Annual Irish Festival of Milford

as well as your preferred committees and events.
Please indicate your interests and committee chairpersons will contact you:*

Clubhouse/Building MaintenanceCultural Activities CommitteeMembership CommitteeYouth Activities CommitteeSocial Activities CommitteeBar Committee - bartendingFamily Activities CommitteeAnnual Oyster FestivalChristmas FamilyTara Theatre/DramaParade CommitteeAnnual Sláinte Golf TournamentSlainte ScholarshipFinance/FundraisingAnnual Family PicnicBook ClubMonthly Members' LuncheonGenealogy and Family HistoryMilford Irish Riders - Motorcycle ClubPublicity/CommunicationsGolf ClubGarden Club
Should be Empty:

APPLY FOR MEMBERSHIP

Your Information:

Your Irish Heritage:

Family Memberships: