Northern Arizona Celtic Heritage Society

“Presenting, Promoting, and Preserving Celtic Culture”

 

 

MEMBERSHIP APPLICATION

Please print this form, complete and return to NACHS

 

 

R  ­­_____ Individual Membership, with email newsletter            $   10       $ __________

R  _____ Individual Membership, with paper newsletter           $   15       $ ­__________

R  _____ Family Membership, with email newsletter                $   15      $ __________

R  _____ Family Membership, with paper newsletter               $   20      $ __________

R  _____ Life Membership, with both newsletter formats         $ 150      $ __________

 

                                                                                           Total enclosed:      $ __________

 

 

Please make checks payable to “NACHS” and mail to:

 

Northern Arizona Celtic Heritage Society

PO Box 187

Flagstaff, AZ  86002

 

 

                                    Name:  __________________________________________________________   

                                   

                           Address:  _____________________________________________________________

 

                           City, State, Zip:  ________________________________________________________

 

                           Home Phone: __________________________________________________________

 

                           Email:            __________________________________________________________

 

R  _____ Yes, I am interested in volunteering.  Please put my name on the NACHS Volunteer List for July 2008. 

 

 

NAME _________________________________________________________

 

PHONE ________________________________________________________