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Fenians of Northern Kentucky, Inc Membership Application Form |
| Name_______________________________________Occupation________________________ |
| First m.i. Last |
| Address______________________________________________________________________ |
| Street City State Zip |
| Phone(H)________________________(W)_______________________ |
| Marital Status______________Name of Spouse__________________ |
| Roots in Ireland (if applicable) County_____________Town_______________ |
| Describe briefly something about yourself e.g., hobbies, organizations, children |
| _____________________________________________________________________________ |
| _____________________________________________________________________________ |
| _____________________________________________________________________________ |
| The Fenians of Northern Kentucky, Inc. is a non-profit Irish Heritage Cultural Organization open to people interested in all things Irish. We actively solicit members with such interests, who subscribe to the Aims and Objectives of our Organization. |
| The Fenians are involved in most areas of Irish culture through its various and many activities throughout the year. In which of the following areas are you more interested? |
| Circle those areas where you are more interested or would like to be involved: history, art, music, language, genealogy, poetry, government, architecture, sports, food, and theatre |
| I hereby apply for admission to the Fenians of Northern Kentucky, Inc. I promise to abide by the Constitution and By-laws of the Corporation. |
| Signature of Applicant__________________________________Date____________________ |
| Approved by__________________________________________Date____________________ |
| Paid in full____Date________________Check No.______________ |
| General member (18 & older) | $25.00/Yr |
| Family (Husband $ Wife) | $40.00/Yr |
| Senior member(65 or older) | $20.00/Yr |
| Student member | $10.00/Yr |
| Make check payable to: | |
| Fenians of Northern KY, Inc | |
| PO Box 17731 | |
| Covington, KY 41017 |