O'GARA CLAN ASSOCIATION

 O'Gara Clan Membership Application/Renewal Form

Period: 1st January to the 31st December

Name: _________________________________________________________________________________

Name of Spouse/Partner: __________________________________________________________________

Postal Address: __________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Telephone: ____________________________________________________________________________

Email Address: __________________________________________________________________________

Single:............................. ...... €15

Couple/Family........................€20

Membership + Certificate ......€25

Currency exchange

Please mail application to:

   Mrs. Rosemarie Carty,

St. Patrick Street,

Boyle, Co. Roscommon,

Ireland.



For your convenience, just print this page and mail it with your dues payment to the above address.



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