| Name____________________________________________ |
| Address__________________________________________ |
| City______________________________________________ |
| State, Zip_________________________________________ |
| Phone___(_____)__________________________________ |
| E-mail___________________________________________ |
| Member Benefits |
You'll receive a quarterly newsletter, |
Advance Notice of all Society sponsored events, |
Special admission rates to selected Society events, |
10% discount at the Harp & Thistle Irish Import Shop, |
10% discount on all Society Merchandise. |
| Annual Dues: $10.00 |
| Please mail this form along with a check for your dues to: |
| St Patrick Society |
| P.O. Box 117 |
| Peoria, IL 61605 |