Rutherford Irish American Association Membership Application

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Rutherford Irish American Association Membership Application

Your membership/dues help support our Rutherford St. Patrick's Day Parade, RIAA Scholarship Fund, and other charitable events.
Initial Membership Dues= $45 (through December 31st of Current Year)
Annual Dues Thereafter= $25

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Address *

Your answer

Phone Number *

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Email Address *

Your answer

Date of Birth

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YYYY

What county did you or your family hail from?

Your answer

How will you be submitting your dues? *

PayPal (link found at https://rutherfordirish.com/membership-1)

Check to P.O. Box 233 Rutherford, NJ 07070

Other:

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