St. David's Society                       Lackawanna County, PA                                                   (Founded 1910)                       Membership Application Name:___________________________________________________________ Address:__________________City_______________State________Zip________ Telephone: (     )____________Email________________ Are you of Welsh descent?  ____.  (This is not a requirement for membership.  You need only have a desire to learn about and further Welsh culture and history. ) If so, please let us know where your family lived in Wales: __________________ Were you a member previously  ______ ,or a member of another Welsh group?  Let us know of your other Welsh affiliations.  _____________________________ Please return this application with your $10.00 annual membership payable to:                          St. David's Society of Lackawanna County                                                                                                    C/O                                              Brian Kaeb                                              507 Carnation Dr.                                              Clarks Summit, PA 18411 Your membership helps to ensure continued efforts to honor and perpetuate the culture and history of our Welsh heritage. Please add any comments that you may want to share.