Toronto Professional Fire Fighters' Celtic Society

2008 Membership Application

    NAME:_________________________________________________

    SPOUSE NAME:__________________________________________

    ADDRESS:______________________________________________

                  ______________________________________________

                  ______________________________________________

    ACTIVE_______ RETIRED ______ ASSOCIATE ____

    HOME PHONE: _________CELL PHONE: _________WORK: _______

    EMAIL: __________________

    ACTIVE OR RETIRED: $20.00 PER ANNUM

    ASSOCIATE MEMBER: $30.00 PER ANNUM

    I, the undersigned, make application for membership in The Toronto Professional Fire Fighters' Celtic         Society.  I proclaim that I will celebrate the life, culture, singing and playing of music, and general good times associated with the Celtic traditions.

    SIGNATURE______________________________________________

    DATE ___________________________________________________

Please print this form and forward with your membership fee to John or Mike
For more information contact  John Poirier or Mike Ogle