Club Tacaithe Socair Phoblacht na hEireann
(Republic of Ireland Soccer Supporters Club)

I wish to apply for membership of the above club and enclose:
(please tick appropiate box)
10.00 Euro Entry Fee   (once off payment)                                                       
15.00 Euro Annual Subscription Fee & 10.00 euro Social fund levy.                
Two signed passport size photographs
Signed membership card (This will be posted back to you or you may collect it at the next meeting)
 

The following reduced fees apply to students (16 or under on or before 1st April)
O.A.Ps
Unemployed 5.00 euro Entry Fee (once off payment)                       
10.00 euro Annual Subscription Fee & no Social fund levy               .
 

Family Membership Annual Subscription                                          
15.00 euro first adult, 5.00 euro second adult, 5.00 euro each child,

plus 10.00 each per adult social fund levy                                                    
 

(block capitals please)
 

Name______________________________________________________________

Address___________________________________________________________
__________________________________________________________________
__________________________________________________________________

Date of Birth_____________________________________________________

Return completed forms with Payment & signed passport photos to ROISSC, PO Box 2942, Dublin 2

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