Application for membership



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APPLICATION FOR MEMBERSHIP

The Society of the Friendly Sons of St. Patrick on Long Island is an organization comprised of Sons of Erin and/or their descendants,

who are business owners, executives, professionals or leaders in the community on Long Island.

We are interested in the economic development of

Ireland as well as the Long Island region and

the promotion of the rich culture of our ancestors.

Our ends are also philanthropic and charitable,

devoted to the betterment of our less fortunate brethren,

both here and in Ireland.

We encourage Irish-American leaders in business, the professions, labor, education, religion, culture, government and public/civic life,

living or working on Long Island, to seek active membership in

The Friendly Sons.”




Please complete this application in full (and attach a curriculum vitae, if necessary) and submit

with $100.00 fee payable to The Friendly Sons and mail to the Membership Chair:
The Society of the Friendly Sons of St. Patrick on Long Island, NY

Richard J. Drury

180 Prince Chico Street


Copiague, NY 11726

I, hereby apply for  MembershipReinstatement in



The Society of the Friendly Sons of St. Patrick on Long Island, NY. [The $100 shall be applied toward initiation for new members and toward dues for members to be reinstated. All members, including reinstated members on the membership role on August 15, shall be billed for dues for the following calendar year.] Membership dues are $100 per year.

Spouse’s name: Home Phone: E-mail:

Home Address: City: State: Zip:

Company/Organization: Your Title/Position:

Business Address: City: State: Zip:

Bus. Phone: Fax : E-mail:

Mailing preference:  Home  Business ------- Citizenship:  USA  IRE OTHER:

Date of Birth: Place of Birth:

Father’s Name: Place of Birth:

Mother’s Name: Place of Birth:


Details of Irish Ancestry:
Maternal:


Paternal:


Organizations:

Affiliations:

Other Information (Family Members, Previous Employment, Military Service, etc.):





Sponsor: Phone: E-mail:

Second: Phone: E-mail:


Date: Signature:
Date Approved By the Board of Governors: Secretary’s Initials:

Cash (or) Check #: Amount:




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