Join the Irish Network Northern Califorina

Join Online —>
• Please fill in and submit the profile form below, after which you will be able to pay your dues online via Paypal's secure facility, or send your $35 check by mail. If you plan to post a check, please remember to do so right away—we cannot activate your membership until both payment and profile are received.

(Joining by Post —>Please Note: It is preferable to join online, but if you do need a paper form, use this link to download a .pdf (Acrobat) version of the form, print it, fill it in and post it to the address on the form with your check for $35.)

Irish Network Northern California
Member Profile Sheet
All information is optional, except *name, *mailing address and *email address (if you have no email address, please type "none" in the email address box)

All information will be included in the Network Directory & distributed to Network Members.

Membership dues are $35.00 per year.

When completed please click the submit button.

Member Information

*Name (First, Last)

Spouse/Partner Name (if applicable)

*Mailing address

*City *State/County

*ZIP *Country

Originally from

Employment Information

Occupation

Employer Name

Employer Address

City State/County

ZIP Country

Contact Information (if you have no email address, please type "none" in the email address box)

Personal Phone Work Phone

Other Phone Other Phone Type

*E-mail

WWW (if applicable)

Education and Business Interests
(Typically colleges attended, certifications attained and any other business interests you may have)

Other or Personal Interests
(Typically, leisure time activities and interests)

••• home ••• join ••• renew ••• contact ••• be a sponsor ••• calendar ••• dinners •••
••• photos ••• bulletins ••• newsletter ••• members ••• committee ••• links •••