Re: Clan Sinclair Association, Inc. (U.S.A.) Membership

[Selvermj@aol.com]

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Clan Sinclair Association (U.S.A)
The Right Honorable Malcolm Sinclair, Earl of Caithness
Hereditary Chief of Clan Sinclair

MEMBERSHIP APPLICATION

PLEASE PRINT

Name__________________________________ Date Of Birth___________________
Spouse ______________________________________________________________
Address______________________________________________________________
City________________________________ State ___________ Zip______________
Phone (Home)_______________________ (Business)_________________________
Fax _______________________________
Email______________________________________
Occupation____________________________________________________________
Children Under 15_______________________________________________________
Clan Connections __-____________________________________________________

Indicate your Scottish interests, as well as you family's
________________________

______________________________________________________________________

MEMBERSHIP TYPE								DUES

_____	Regular (one person)
--------------------------------------------------------------------- $15.00

_____	Family (to include children under
15)----------------------------------------------- $20.00 

_____	Sponsor
------------------------------------------------------------------------------
-------- $35.00

Make checks payable to Clan Sinclair Association and mail to:

		CLAN SINCLAIR ASSOCIATION, INC. (U.S.A.)
		Mary Selver - Secretary/Treasurer
		89 Sentry Way
		Merrimack, NH 03054