Membership Renewal Form

Wellington Irish Society

renewing Membership

Name *

First

Last

Email *

Phone Number *

Enter your Contact Number Here

Address *

Enter your Address here or Your New Address if its Changed.

Type of Membership - Please Choose One *

Family - $40 Retired Couple - $20 Single (Waged) - $20 Single (Retired/Unwaged) - $10

Please Select your Membership Type

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