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Skalny Welcome Center
St. John Fisher College
3690 East Avenue
Rochester, NY 14618
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Polish Heritage Society of Rochester
Membership Application

Print this page, fill in the blanks, and send this via US Mail to:
Joseph S. Skalny Welcome Center, St. John Fisher College, 3690 East Avenue, Rochester, NY 14618

The Polish Heritage Society of Rochester is a nonprofit organization established in 1918 as the Polski Dom Ludowy. Our mission is the promotion of our rich Polish culture, customs and traditions, and the preservation of the uniqueness of our Polish American legacy.

Membership is open to anyone interested in our mission and willing to participate in our programs and activities.

To be considered for membership, you must provide us with the information requested below. You will be notified once your application has been reviewed. Our annual dues are $10 per person. Do not enclose a check or money order at this time.

NAME:

ADDRESS:

TELEPHONE
FAX
E-MAIL

1. How did you learn about PHSR?

2. Who do you know that is a member of PHSR?

3. What organizations do you belong to and what contributions did you make to each one?

4. What will you contribute to PHSR as a member?

5. What is your interest in Polish heritage?

6. What committee(s) will you volunteer to work on? Please check your preference(s):

___Programs
___Membership
___Publicity
___Newsletter
___Financial
___Legal Affairs
___Youth Programs
___Scholarship Programs
___History and Archives
___Other (state your interest)

YOUR SIGNATURE
DATE