Fenians of Northern Kentucky, Inc

Membership Application Form

                First                            m.i.                         Last
                  Street                                                                   City                                                   State               Zip
 Marital Status______________Name of Spouse__________________
 Roots in Ireland (if applicable)           County_____________Town_______________
 Describe briefly something about yourself e.g.,  hobbies, organizations, children
      The Fenians of Northern Kentucky, Inc. is a non-profit Irish Heritage Cultural Organization open to people interested in all things Irish.  We actively solicit members with such interests, who subscribe to the Aims and Objectives of our Organization.  
      The Fenians are involved in most areas of Irish culture through its various and many activities throughout the year.  In which of the following areas are you more interested? 
 Circle those areas where you are more interested or would like to be involved:  history, art, music, language, genealogy, poetry, government, architecture, sports, food, and theatre
 I hereby apply for admission to the Fenians of Northern Kentucky, Inc.  I promise to abide by the Constitution and By-laws of the Corporation.
Signature of Applicant__________________________________Date____________________
Approved by__________________________________________Date____________________
Paid in full____Date________________Check No.______________
General member (18 & older) $25.00/Yr
Family (Husband $ Wife) $40.00/Yr
Senior member(65 or older) $20.00/Yr
Student member $10.00/Yr
Make check payable to:
Fenians of Northern KY, Inc
PO Box 17731
Covington, KY 41017