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MEMBERSHIP APPLICATION
(Please "select" this area of this page then File/Print- Selection to print and return to us)

CLAN MACLENNAN  USA

First Name_____________________________________

Maiden Name___________________________________

Last Name_____________________________________

Address__________________________________________________________________

City__________________________________________ State____ Zip_____________

Phone (______)________________ Cell (______)________________

Birthdate Month ________________ Day ____ Year ________
So we can remember your birthday with a card!

Email_______________________@________________________________

Clan Connection ________________________________________________

Signature _________________________________Date_____________________________

Do you attend any Events / Festivals / Games? _____________

If so, where? __________________________________________

Do you have children in your family who might be interested in the Youth Pages? _____________

Age(s) ___________________________

Tell us about yourself - play bagpipes or drums, want to convene an event, interested in genealogy, clan history, want to serve on a committee or the board, etc.

Any suggestions for us?

Any questions for us?

Membership Fees: Adult:$20 per year  Youth [Ages 5-18] Non-voting $10 per year  Lifetime $300

Mail to: David Jones

              740 Chapman Loop, THE VILLAGES FL 32162

(Please make check payable to Clan MacLennan USA)

OR

Find it easier to make your payment online?

You can! Using VISA / MASTERCARD / AMEX or PayPal

Just click on ONE of the links below, depending upon which membership you are paying for...

ADULT $20        YOUTH $10       LIFETIME $300

2CheckOut.com Inc. (Ohio, USA) is an authorized retailer for
goods and services provided by Wizard Publishers.

You'll be taken directlly to a secure online processing screen operated by MacLennan & Lockman LLC 

[part of  David Jones' online business group].  

PLEASE complete the above membership application form and mail it, since we need it for our records.