Shamrock Club Of Sacramento Membership Application
Please Fill Out And Submit, click the link at the bottom for payment. Thank you and Welcome!
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1.
Name
(Required.)
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2.
Home Address
(Required.)
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3.
Phone Number Cell/Home
(Required.)
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4.
Email Address
(Required.)
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5.
Date of Birth
(Required.)
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6.
Occupation/Profession
(Required.)
7.
Spouse and Children's Names (Family Plan)
*
8.
Membership Type
(Required.)
Individual Membership $30.00
Senior Membership $25.00
Family Membership (Couples and all Children Under 23 at Home) $45.00
9.
Name Badges (Optional) $14.00 ea.
Pin Back
Magnetic Back
10.
Payment Link, Thank you