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October 24th
Children's Halloween Party

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Movie Night

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Steak Shoot

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Thanksgiving Day Raffle

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October 24th
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Club Membership

Club Membership
West Side Irish American Club Membership

Please fill out one Order Detail Form and submit per each adult membership with your order.

NOTE:
  • Each adult member has a unique membership number. If renewing, please fill out the number in the space provided. If new member, please leave the membership number space blank.
  • If your child turned 18 in 2013, please fill out an adult membership for that child. If your child turns 18 in 2014, you may include the child in your membership.

    Order Details:
    Renewal:  
    Membership Number :
    Membership Type:  
    Title:  
    First Name :
    Last Name :
    Date of Birth : (format: yyyy-mm-dd)
    Street Address :
    Apartment # :
    City :
    State :
    Zip :
    Phone :
    Cell :
    Email :

    Children Under 18
    Number of Children Under 18:   Enter Names & Birthdates Below
    Child One Name :
    Child One D.O.B. : (format: yyyy-mm-dd)
    Child Two Name :
    Child Two D.O.B. :
    Child Three Name :
    Child Three D.O.B. :
    Child Four Name :
    Child Four D.O.B. :
    Child Five Name :
    Child Five D.O.B. :
    Child Six Name :
    Child Six D.O.B. :

    Volunteer: Check Areas of Interest
    Tuesday Morning Maintenance :  
    Tuesday Night Cleaning :  
    Bartending :  
    Fish Fry :  
    Library :  
    Gardening :  

    Order Membership(s)
    General Membership:   (18 years of age and older)
    Forever Young Membership:   (50 yrs. of age and over, must be a WSIA member to join)
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    The West Side Irish-American Club
    8559 Jennings Rd
    Olmsted Township, OH 44138
    U.S.A.
    Phone: 440-235-5868
    Fax: 440-235-3169
    Email Address: INFO@WSIA-Club.Org