P. O. Box 117, Peoria, Illinois 61650

Online Membership Application

For your convenience, you can register two members on the same form if you like.

First Member - Name (first and last): *

(OPTIONAL) Second Member - Name (first and last):

Use this to register or renew two members at the same time.

Street Address: *

City: *

State: *

Zip Code: *

Email Address: *

Second Member Email Address (if added):

Phone Number: *

Please use (xxx)xxx-xxxx format

Membership Choice (select one): *

How will you be submitting payment for your membership fees?

Membership Type (select one): *

What year did you first become a member of the Society? *

Please let us know if you would be interested in volunteering at a Society Event by checking a date(s) below:

Checking these boxes does not indicate commitment - this is just so we know to put you on those mailing lists.

Promotional Code: (optional)

Membership Benefits – If you present your valid membership card:

10% discount on all Irish merchandise purchased at Peoria Flag and Decorating
10% Discount on Society Merchandise
Periodic Newsletters
Discount on Admission Fees for the following scheduled events
- Annual Trivia Challenge
- St. Patrick’s Day Parade
- Peoria Irish Fest – Erin Feis

*Please contact a board member if you have questions regarding membership.*

Address

St. Patrick Society of Peoria
P. O. Box 117
Peoria, IL 61650