Celtic Fringe Membership Application

To apply for membership, print this page and mail with a check or money order to the address at the bottom of the page.
Name:
Other Family Members:
Address:
City, State, Zip:
Phone:
E-Mail:
Single: $25.00		Family: $30.00
(Make Checks Payable to the Celtic Fringe)
Renewal:		New Membership:
Amount Enclosed:		Date:
I wish to donate an additional $________ to the Special Needs Fund.
The Celtic Fringe meets on the first Tuesday of each month at 7:30pm at The Gaf Irish Pub at Gregory & Wornall in Kansas City, MO. Please visit our website at: www.celticfringe.org for more information. Mail to: Mike Casey 5908 W. 90th Street Overland Park KS 66207-2033 Tel: 913-642-1106 go raibh maith agat! (thank you very much)