High Desert Celtic Society, Inc. 

P.O. BOX 272 - Redmond, Oregon 97756

              

MEMBERSHIP APPLICATION

 

Membership in the High Desert Celtic Society, Inc., is open to all who are interested the Celtic culture, traditions and heritage, with no requirement of Celtic ancestry. Please complete this form and mail, along with your check, to the address above.

 

Membership Dues

 

Individual          $20.00              Family (immediate)        $30.00              Life Member      $150.00

                                                           

All members will receive The Seanachie, the HDCS quarterly newsletter.

 

 

NAME: _________________________________________________________________________________________

 

ADDRESS: _____________________________________________________________________________________

 

CITY: ___________________________________________ STATE: _____________________ ZIP: _______________

 

PHONE: ________________________________________ WORK PHONE: ___________________________________

 

E-MAIL: _________________________________________________________________________________________

 

Please list the names of each family member (including yourself) and their date of birth (month, day) so we may send birthday greetings!

MEMBER NAME                                                               DATE OF BIRTH (month, day)

 

_________________________________________________     ________________________________________________

 

_________________________________________________     ________________________________________________

 

_________________________________________________     ________________________________________________

 

_________________________________________________     ________________________________________________

 

    ____ I would like to take an active part in the planning and presentation of Society community activities.

____ I have interesting family heritage that I would like to share with the HDCS for educational uses.

____ I have talents in Celtic arts, cookery, music, poetry, stories or other that I would be willing to share with the HDCS.

 

ADDITIONAL INFORMATION: (optional)

 

Celtic connection, if any (family, clan, ancestral origin): __________________________________________________________

 

______________________________________________________________________________________________________

 

Hobbies/ Interests: _____________________________________________________________________________________

 

The HDCS plans several camping trips during the summer months, do you like:   ____Primitive camping (tent/trailer no hook-ups)  _____ tent/trailer camping with showers/toilet facilities     _____ RV, hookups necessary       ____ No, I don’t camp thanks.