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To become a member of Irish Northern Aid, please fill out the information below, print it out and send it with a check or money order to:

Irish Northern Aid Committee
Attn: Membership
363 Seventh Avenue, Suite 405
New York, New York 10001

*Name:
*Address:
Apt/Ste:
*City: State: *Zip:
Phone: day: eve:
E-Mail:
Type of Membership: New Membership Renewal Membership
 
The following questions are optional and need not be included in your membership form. However, we would appreciate your taking the time to fill them out.

Do you belong to a local INA Unit? If so, please print unit name below. If not, please click here to find an INAC Unit in your area.

Yes, I already belong to a local unit. Unit name:
There is no local INAC Unit in my area, but I would be interested in joining a Unit should one form.
There is no local INAC Unit in my area, but I would be interested in starting a Unit.
I would rather remain a Member-at-Large only.

 
How did you hear about the Irish Northern Aid?
Internet Search
Keywords:
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A link from another site. URL:
The Irish People newspaper
The Homefront Library
A local INAC Unit event/protest
Another activist organization event/protest
A friend/neighbor
Other:
 
Please list other Irish-American, activist, human rights or other organizations to which you belong or make a regular donation.