Membership Application/Renewal Form
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Name
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Address
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Mobile Phone Number
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email address
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I hereby apply for membership/ renewal of membership of the Carlow Historical and Archaeological Society and agree to be bound by the rules thereof.
Subscription: Individual: €10
Husband & Wife: €15
Return to: Catherine McGuill
Hon. Treasurer,
Carlow Historical & Archaeological Society
Sandbrook Lodge
Blackbog Road
Carlow
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