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.

The Wild Geese, Inc.
247 Hamilton Ave, #4
Stamford, CT 06902
wildgeese@wildgeesemail.org

www.thewildgeese.org