An Rí Rá Montana Irish Festival
Memorial Program

Please fill out the following form for the An Rí Rá Memorial Program.The An Rí Rá Executive Committee has memorial cards that will be sentonce a memorial is received. It is important to fill out the formcompletely to ensure that the memorial cards are sent with the correctinformation. Thank you for thinking of the An Rí Rá Montana IrishFestival as a way to honor your loved ones.

Memorial made in the name of: _____________________________________

Memorial Amount: $_______________________________

Memorial Card sent to the following person to acknowledge the memorial gift:

Name: _____________________________________
Address: ___________________________________
City: _________________ State: ________________ Zip: _______________

Donor(s) of the Memorial Gift (Card to be sent to the following for tax-purposes):

Name: _____________________________________
Address: ___________________________________
City: ________________ State: _________________ Zip: ________________

Memorial Checks should be made out and sent to the following:

MGCS
Attn: Memorial Program
P.O. Box 3612
Butte, MT 59702-3612

THANK YOU FOR YOUR CONTRIBUTION TO THE AN RÍ RÁ MONTANA IRISH FESTIVAL!