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I hereby apply for admission into the Ancient Order of Hibernians in America, Inc., and agree that my reception and continuance in said Order shall depend on the truthfulness of my answers to the questions which are hereto attached.

TO BE A MEMBER YOU MUST BE A MALE OVER THE AGE OF 16, PRACTICING CATHOLIC AND BE OF IRISH HERITAGE BY BIRTH, DESCENT OR BE LEGALLY ADOPTED BY SUCH A PERSON AND BE OF GOOD MORAL CHARACTER. (Clergy do not need to be of Irish Ancestry)

LADIES INTERESTED IN JOINING, Please follow this link: JOIN THE LADIES A.O.H.

State
Birthday
Month
Day
Year
Irish by...
Are you Catholic
Have you made your Communion?
Yes
No
Were you Confirmed in the Catholic Church?
Yes
No
Do you live your life in harmony with, and respect, the teaching of the Catholic Faith?
Yes
No
Do you belong to any Society to which the Catholic Church is opposed?
Yes
No
Were you ever previously a member of the Ancient Order of Hibernians?
Yes
No
Are you a Veteran?
Yes
No
I am on active duty

Ancient Order of Hibernians, Division 1, Bucks County

614 Corson St. Bristol, PA 19007   •   (215) 788-9806

© 2013 A.O.H. Division 1   Bristol, PA.   All rights reserved.

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