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Print this form  to join Irish Northern Aid by mail.  Make copies of this form for memberships for more than one person.

_______________________________________________________________________________
FIRST NAME                           LAST NAME                                       PRIMARY E-MAIL            

_______________________________________________________________________________
STREET                                  

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CITY                                 STATE                                   ZIP CODE

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PHONE                                                                FAX NUMBER                 


________ New or renew existing membership - includes membership in the DC area, Baltimore, or Southern Pennsylvania units (or At Large) and in the National Irish Northern Aid for $30.00 per year
Choose one -      DC area ______            Baltimore ________ 
                      Southern PA__________         Richmond________
                     At Large__________
 

Note: Check here____ if renewing

METHOD OF PAYMENT   

   Check/Money Order made payable to INAC-DC (There is a $20 returned check charge.)
    

Credit card payments - use this link to join on-line  - Join On-line


Print the form above to mail.

Mail memberships with check or money order payable to:
INAC-DC
PO Box 1032
Bowie, MD 20718

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