MEMBERSHIP APPLICATION

Italian Heritage Society of the Cape Fear Area

 The mission of the Italian Heritage Society is to promote the rich diversity of the Italian heritage and culture by sharing it with others, educating the public about the contributions of Italians and Italian-Americans to our society, breaking stereotypical images, providing fellowship, and improving our own knowledge about Italian history, language and culture.

 If you are interested in joining, please complete the form and mail it with your dues to the I.H.S., P.O. Box 299, Carolina Beach, NC 28428. If you need any further information about our organization or membership, please call Jeanne Ray at 458-9555; Anthony Riviezzo at 383-1378.

 Initial Couple or Family Membership: July-June $32/ Oct.-June $24/ Jan-June $16/ April-June $8

(Family Memberships include Husband, Wife and Children)

(circle one above)**All Family renewals are $32 and are due July 1 st of each year.

 Initial Single Membership: July-June $24/ Oct-June $18/ Jan-June $12/ April-June $6

(circle one above)** All Single renewals are $24 and are due July 1 st of each year.

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 Total amount enclosed$__________________________Date__________________________________

How did you hear about IHS :___________________________________________________________

Applicant’s Name_____________________________________________________________________

Spouse’s Name (if applicable):___________________________________________________________

Home Address:_______________________________________City_____________________________

Zip _________________Day Phone: _______________________Evening Phone:___________________

Cell Phone:______________________________ FAX #__________________________________

E-Mail Address:_____________________________________________

MEMBER #1_____________________________________________________________

Location in Italy where your family is from: Province: ________________________City:______________________

Your occupation:____________________________________ Special Interests/talents?_________________________

Member #2__________________________________________________________

Location in Italy where your family is from: Province: ________________________City:______________________

Your occupation: ____________________________________Special Interests/talents?________________________

I.H.S. Committees: Building, Boccee, Budget, By-Laws, Community Affairs, Dinner Dance, Door Prizes, Goodwill, Heritage, Library, Membership, Music, Picnics, Program, Scholarship, Soft Goods Sales, Special Festivals, Supper Groups, Web Page. Like any organization, the working committees provide a real chance to build relationships with others in the group and to also have fun. Your special talents, contributions and participation will be the factors that make our Association Great!! Grazie tanto!

On which committee or committees would you like to serve?________________________________________________