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Birthday
Month
Day
Year
Are you Irish?
Yes
No
Irish By:
Are You Catholic?
Yes
No
Have you complied with your religious duties within the past twelve (12) months?
Do You Belong to Any Organization that the Catholic Church is Opposed?
Yes
No
Have you ever been a member of A.O.H.?
Yes
No
We want to know your interests! Please check all that apply:
Are you a Military Veteran?
Yes
No
If Yes to above, which branch did you serve in?
Are you married?
Yes
No
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