| Surname ___________________________ Full Christian Names __________________ Style, Title, Degree, etc. _______________ Permanent Address ____________________ _____________________________________ Occupation ___________________________ Date and Place of Birth _________________ I acknowledge the Great Constable of Scotland as my chief in all Hay Clan matters. I hereby apply to be enrolled as a _________ member and enclose $______. Usual Signature _______________________________ [circle one] Ordinary Member: {for those that meet any of ( #1-6 ) of Eligibility. Associate Member: {for those applying through eligibility by way of ( #7 )}
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