CHS title



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.

____ Newsletter ____ Game Tents
____ Nominating/Elections ____ Finance
____ Membership ____ Merchandise
____ Area Convener for _______________________
____ 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?
____ Member ____ Relative ____ Friend
____ Article/Ad in ______________________
____ 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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