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Get NY Irish Cultural Center Hudson Valley Membership Form 2014-2024

Ral Center Hudson Valley! Individual $50 Family $100 (up to 2 adults with children under 20 years old) donation INFORMATION Note: For family memberships, please include the names of both adults joining Name(s) Address City State Zip Phone number (with Area Code) Email PAYMENT INFORMATION Check: Enclosed is a check in the amount of $ made payable to ICCHV Mail your completed form and check to: ICCHV, PO Box 1235, Kingston, NY 12402 The Irish Cultural Center Hudson Valley is a 501(c)3.

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