Membership (Associate)

associate Membership APplication

Please complete the application then select a membership type at the bottom. You will be automatically redirected to paypal to complete the membership payment.

Name *

First

Last

Mailing Address *

Email *

Cell/ Home Phone *

Station *

Rank *

T-shirt Size *

Do you wish to receive Emerald Society social function info? *

Yes No

Are you interested in becoming a member of the Pipes & Drums Band? *

Yes No

If you are interested in becoming a band member, which instrument would you be interested in? *

Please list any other persons with contact information who may have interest in the Emerald Society: *

Associate Membership

Commemorative t-Shirt and challenge coin

associate Membership APplication