American Branch
Application for membership
Download an easy printer-friendly PDF (Adobe Acrobat) version of this form linked here: [ CHS-AB-Application.pdf ] OR Print out the form on this page shown below... |
| Note: All applicants
applying for US Branch membership also includes automatic application
and membership to the the main Scotland Branch. All fees are
thus inclusive for both memberships. |
[PRINT OUT THE FORM BELOW AND MAIL TO THE ADDRESS THAT FOLLOWS]
CLAN HAY SOCIETY - AMERICAN BRANCH / MEMBERSHIP APPLICATION
[Please write in Block Letters]
| Name ___________________________ Address ____________________ _____________________________________ Phone ____________________ e-mail (if any)____________________ home page URL (if any) ______________________ Birth Date _________________ Place of Birth _________________ Occupation ___________________________ Name of Spouse __________________ Children's Names _______________ ___________________________ ___________________________ Father's Name _______________ Mother's Name _______________ If your surname is not generally recognized as belonging to the Families and Septs of Clan Hay, briefly state your relationship: _______________________________ _______________________________ _______________________________ If you are applying for Associate Membership, please have your sponsors sign below and indicate their membership numbers. 1. _______________________________ Member # ________________ Date ________________ 2. _______________________________ Member # ________________ Date ________________ Please indicate below your main areas of interest. This may include interests that are not specifically Scottish, such as hobbies, special talents or knowledge, etc.. _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ Please indicate what committees you would be willing to serve on and/or any activities you would be willing to assist with.
____ Picnics/ Dinners/ Other Social Events Other: _____________________ _______________________________ _______________________________ _______________________________ _______________________________ If you or your spouse are a member of any other Clan Society or Scottish organiztions, please indicate which ones. _______________________________ _______________________________ _______________________________ _______________________________ How did you learn about Clan Hay?
____ Clan Tent at _______________________ Other: ________________________________ Please indicate the type of membership by checking one: ____ Individual Member .......$28/year ____ Associate Member .......$20/year Also enclosed is a donation of $_______ for _________________________. Total Amount Enclosed: $_______ Print out this form and forward with payment to the Membership Chairman via regular postal mail: [please make check payable to: Clan Hay Society] CLAN HAY/ MEMBERSHIP: Miss M. Frances Nantista 91A Russel Road Albany, N.Y. 12203 I/we hereby apply for membership in the Clan Hay Society as indicated above and acknowledge the Lord High Constable of Scotland as Chief of the Name and Arms of Hay. Signature__________________________ Date ___________ Other information or comments: |
END OF APPLICATION
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