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
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.