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Kelly's Inn



Cumann Lúthchleas Gael

Child Membership Application Form


Parent/Guardian #1:


Parent/Guardian #2:



Membership Agreement

Membership Payment total


*By submitting this form you agree to the Terms and Conditions

Child x {{ numberofchildtopay }} = £{{ numberofchildtopay*20.00 | number : 2 }} £60.00
 
Total     = £{{ numberofchildtopay*20.00 | number : 2 }} £60.00

Payment Details


Card Number
Expiration
CVV
Post Code