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 Applicant Rejoining Past Member
Name

First Name Middle Name Last Name
Address

Street Address

Street Address Line 2

City State

Zip Code
Birth Date

Month Day Year
Date
Email
example@example.com
Contact Number

Area Code Phone Number
Occupation/Profession
Your Irish Heritage:

(Fill out for Single or Family Memberships)
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 Surname Relationship to you Irish County
Additional Irish Heritage

Irish Family Surname Relationship to you Irish County
Additional Irish Heritage

Irish Family Surname Relationship to you Irish 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 Name Last Name
Spouse's Email
example@example.com
Spouse's Cell

Area Code Phone Number
Spouse's Birth Date

Month Day Year
Date
Spouse's Occupation
Spouse's Irish Heritage

Irish Family Surname Relationship to you Irish County
Child #1

Name Birth Date
Child #2

Name Birth Date
Child #3

Name Birth Date
Child #4

Name Birth 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 Maintenance Cultural Activities Committee Membership Committee Youth Activities Committee Social Activities Committee Bar Committee - bartending Family Activities Committee Annual Milford Irish Festival Christmas Family Tara Theatre/Drama Parade Committee Annual Sláinte Golf Tournament Slainte Scholarship Finance/Fundraising Annual Family Picnic Book Club Monthly Members' Luncheon Genealogy and Family History Milford Irish Riders - Motorcycle Club Publicity/Communications Golf Club Garden Club
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APPLY FOR MEMBERSHIP

Your Information:

Your Irish Heritage:

Family Memberships: