I wish to apply for membership of the Society. I enclose the annual subscription of £10 (€15/$20)

Name:______________________________________________________

Address:

____________________________________________________________

____________________________________________________________

____________________________________________________________



Signed: ______________________________________________ Date: ________________

Please return this form, with subscription, to

Mr Michael McShane
Hon. Treasurer
Creggan Local History Society
c/o Áras an Chairdinéil Ó Fiaich
Slatequarry Road
Cullyhanna
Co Armagh
BT35 0JH