Join

To join the St. Patrick's Society, Jakarta please complete the form below and fax to our Membership Secretary on (021) 7590 7756. You can also join up at our monthly Pub Nights.

Membership fees are Rp. 120,000 per year (family) Rp. 100,000 per year (single), membership renewal is every September.

Name:*
Spouse:
Children:
(name and ages)		 Name Ages
Name Ages
Name Ages
Name Ages
Address:*
 Phone:* Fax:
Email: *
Any special interests?
Parents / Grandparents born in Ireland? Yes No
 


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