Grand Council of United Emerald Societies Inc
Ní Neárt Go Cur Le Chéile/No Strength without Unity
Application to Affilate
Affiliate Information
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Articles of Incorporation (PDF)
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BY-LAWS (PDF)
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Logo (png or jpeg)
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Short history of your Emerald Society
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Delegates
(President and 4 delegates)
President
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First Name
Last Name
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
DELEGATE 1
*
First Name
Last Name
Mobile
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Delegate 2
*
First Name
Last Name
Mobile
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Delegate 3
*
First Name
Last Name
Mobile
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Delegate 4
*
First Name
Last Name
Mobile
*
Please enter a valid phone number.
Format: (000) 000-0000.
President’s Signature
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Email
*
example@example.com
Date
*
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Month
-
Day
Year
Date
Dues are $100-select payment method
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Check $100 Payable to the Grand Council of United Emerald Societies Inc PO Box 38 Atlantic Beach, NY 11509
Zelle $100 to info@gcues.org-Grand Council of United Emerald
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