The Irish Association of Tasmania Inc

Application to join

Name:   

Address:   

 Suburb:  Postcode:

Ph: (Home)

(Mobile) 

Email:    

County if Irish born:

I have read and understand the rules of the Association and I agree to be bound by them.

Check Box if Yes.

Date:    

Annual subscription for the calendar year is $10.00. For latest information and events: www.irishtas.org.au