COMHALTAS SUDBURY IRISH ARTS ASSOCIATION

Membership Form

To sign up for membership, please fill in the online form and mail your payment to

Bridgit Ripley
481 Monique Street
Chelmsford, ON
P0M 1L0

PLEASE MAKE CHEQUES PAYABLE TO “CCE  SIAA”

We welcome your ideas / suggestions / comments and your level of participation.

NOTE:  If you prefer to download and print a copy of our sign up form, click here

Name *
Name
Address *
Address
Phone *
Phone
Cell Phone
Cell Phone
Please Choose a Membership Option
NOTE: Family memberships include 1 or 2 adults and children under 18 years. Please list names of all family members to be included in the membership and indicate the ages of the children. Junior membership must be combined with an adult membership.
New Member or Renewal *
If you have any questions or comments, please let us know in the message box below.

Personal information provided on this form will be stored in the Comhaltas Ceoltoiri Eireann­ Sudbury Irish Arts Association membership database and may be accessed and shared within the Comhaltas movement by executive officers.