Ancient Order of Hibernians

Membership Application

To Apply for membership in AOH, Division 8, Glen Cove, NY, please complete the following form and follow the directions at the end in order to electronically submit it for consideration:

My name is:   

Address:   

City:        State:        Zip:   

Phone:   

Email:   

Are you a Roman Catholic?    Yes No

Name of Parish or Church:   

Have you complied with your religious duties?    Yes No

Are you Irish by Birth or Descent?  Yes No

Occupation:   

Business Address:   

Business Address:   

Date of Birth:   

Were you ever a member of the AOH?    Yes No

 If so, in what city or town and state?    Former Division #:   

What was your previous membership number, if available? 

What was the reason and date of your withdrawal?   

Do you belong to any society to which the Catholic Church is opposed?    No Yes

In order for you application to be electronically submitted for consideration, please press the button below to pledge that the answers to the above questions are true, and your form will be submitted.