Irish-American Society of New Mexico Membership Application/Renewal Form

Please check one: New Membership _____ Renewal _____ If this is a renewal, has your contact information changed? Yes___ No___

Please make checks payable to: The Irish-American Society and mail to: P. O. Box 13435, Albuquerque, NM 87192-3435

Individual _________ $20.00

Family________$25.00

Name ___________________________________________________ Address _________________________________________________ City _______________________ State_______ Zip _______________ Phone _____________________ E-mail ________________________ Would you like to receive the IAS newsletter electronically? ___________