Friends of Harvard Celtic Studies - logo and membership information page.

Barker Center, 12 Quincy Street Cambridge, MA 02138 USA
Tel: 617-495-1206  •  email: mviolette@fas.harvard.edu
  •  Fax: 617-495-1010

FRIENDS OF HARVARD CELTIC STUDIES
MEMBERSHIP FORM

Please count me/us as members of the Friends of Harvard Celtic Studies in the category checked below.

Contributor $50.00 per annum      Friend $100.00 per annum     
Patron  $250.00 per annum      Benefactor  $500.00 per annum

Checks should be made payable to The Friends of Harvard Celtic Studies.

Name(s)________________________________________________________________________

Affiliation_______________________________________________________________________

Address_________________________________________________________________________

              _________________________________________________________________________

City/State/Zip____________________________________________________________________

Telephone_______________________Fax______________________E-mail__________________


Please print out and return this form to Mary Violette, Administrator, Friends of Harvard Celtic Studies,
Warren House, Barker Center, 12 Quincy Street, Cambridge, MA 02138.
If you have questions about the Friends of Harvard Celtic Studies, please call 617-496-6305.

Home