JOIN US Thank you for your interest in The Wild Geese. Please fill out the brief profile below, and press the "submit" button. If you have any questions, contact Eileen Heaphy at (203) 325-1750. Name Address City State Zip Email Home Phone Business Phone Fax Occupation Spouse's Name Children & Ages Member of the following organizations: PROGRAMS/EVENTS Celtic New Year Ball Newsletter Public Relations Membership Program Golf Outing St. Patrick's Day Bloomsday Youth Committee Twelfth Night PROGRAM INTERESTS Art History/Legend Music/Dance Theater Literary Other (Please specify) MEMBERSHIP DONATION Council Circle* - $1000 Patron - $500 Sponsor - $300 Regular Family Membership- $150 Senior (age 75 or older) - $75 Non-resident** - $50 Clergy/Other Gratis *Council Circle membership includes two tickets to The Wild Geese Celtic Ball. ** Non-resident membership is available to those who live 100 miles or more outside Fairfied/Westchester area. PAYMENT OPTIONS Please select your preferred payment method. Pay online with credit card Mail check The Wild Geese, Inc. is a not for profit organization qualified under the Internal Revenue Service Code Section 501(c)(3). Please consult your tax advisor.
JOIN US
Thank you for your interest in The Wild Geese. Please fill out the brief profile below, and press the "submit" button. If you have any questions, contact Eileen Heaphy at (203) 325-1750.
Name Address City State Zip Email Home Phone Business Phone Fax Occupation Spouse's Name Children & Ages Member of the following organizations: PROGRAMS/EVENTS Celtic New Year Ball Newsletter Public Relations Membership Program Golf Outing St. Patrick's Day Bloomsday Youth Committee Twelfth Night PROGRAM INTERESTS Art History/Legend Music/Dance Theater Literary Other (Please specify) MEMBERSHIP DONATION Council Circle* - $1000 Patron - $500 Sponsor - $300 Regular Family Membership- $150 Senior (age 75 or older) - $75 Non-resident** - $50 Clergy/Other Gratis *Council Circle membership includes two tickets to The Wild Geese Celtic Ball. ** Non-resident membership is available to those who live 100 miles or more outside Fairfied/Westchester area. PAYMENT OPTIONS Please select your preferred payment method. Pay online with credit card Mail check The Wild Geese, Inc. is a not for profit organization qualified under the Internal Revenue Service Code Section 501(c)(3). Please consult your tax advisor.
Member of the following organizations:
PROGRAMS/EVENTS
Celtic New Year Ball Newsletter Public Relations Membership Program Golf Outing St. Patrick's Day Bloomsday Youth Committee Twelfth Night
PROGRAM INTERESTS
Art History/Legend Music/Dance Theater Literary Other (Please specify)
MEMBERSHIP DONATION
Council Circle* - $1000 Patron - $500 Sponsor - $300 Regular Family Membership- $150 Senior (age 75 or older) - $75 Non-resident** - $50 Clergy/Other Gratis
*Council Circle membership includes two tickets to The Wild Geese Celtic Ball.
** Non-resident membership is available to those who live 100 miles or more outside Fairfied/Westchester area. PAYMENT OPTIONS Please select your preferred payment method.
Pay online with credit card Mail check
The Wild Geese, Inc. is a not for profit organization qualified under the Internal Revenue Service Code Section 501(c)(3). Please consult your tax advisor.
The Wild Geese, Inc. 247 Hamilton Ave, #4 Stamford, CT 06902 wildgeese@wildgeesemail.org
www.thewildgeese.org