The Children of Ireland Group
P. O. Box 13241, Tallahassee, Florida 32317
Telephone: (850) 562-6466 Ext. 3307
Email: terry@thetrakker.com
A 501(c)(3) Non-Profit Organization
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Membership Application

Complete Form Below, Print and Mail to:

The Children of Ireland Group
P. O. Box 13241
Tallahassee FL 32317

 

Membership Dues

 
Regular ($25.00)
Additional Contribution Enclosed:   Amount: 

To be applied as follows $_________ Administrative  Expenses $_________  Children's Fund

Total Being Sent:     

Name:
Street:
City, State, ZIP:

Phone:
 (day) 
Phone:
(night)
Email:
I would like to volunteer for the following projects:


Web Page Development
Help with benefits
Membership Development
Donate my Company's Services/Products


Help with on-going projects (See: Current Projects)
  

Which Projects: 

Other

Your Signature:

Date:
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