Membership – St. Patrick's Society of Selangor

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Please fill in this online form and send payment as detailed below.

Click Here To Download A Printable Version Of The Application Form

Cash or online payments can be banked in at UOB – St. Patrick’s Society of Selangor – Account Number 2203015757.

Membership Enquiries: membership@stpatsoc.org
Payment Enquiries: treasurer@stpatsoc.org

Type of Application*
New Application Renewal
Name of Applicant*

Contact Details
Email*

Mobile No.

Partner Name

Partner Email

Partner Phone No.

Current Address*

Children’s Details
Name & Date of Birth

At Alice Smith School?

Name & Date of Birth

At Alice Smith School?

Name & Date of Birth

At Alice Smith School?

*Details will be passed to St Patrick’s Society Trustee Governor of Alice Smith Schools Association

Please select Membership Category Requested*
Full MembershipFriends of Ireland
Brief details of Irish Connections (for Full Membership)

Further Information
Other Irish organisation membership?
Member of Orang EireMember of ICCM
How did you hear about us?

Family Membership Fees: Yearly – RM150 Life – RM750
Family Membership includes spouse/partner and dependent children up to 18 years old
(or up to 21 years if they are full time students)
Payment Method
CashChequeOnline Payment
Cash/Cheque Delivery Method

Cheque Bank & No./Transfer Reference