CLAN MAC DOUGALL - CLAN MACDOUGALL

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Application For Clan Membership

Please PRINT PAGE and WRITE or TYPE then PRINT this page and send to the address below.

NAME: (As you want to appear on Clan Certificate).
NAME: (As you want to appear on our mailing list).
Address: (Home)
Postcode:
E mail Address:
Telephone:
Date of application:
Date of birth:
Fax:

ANNUAL FEES	UK (£)	EURO (€)	Tick box
Individual	16.00	23.00
Family (Based on 2+2)	45.00	63.00
Corporate Membership	125.00	173.00
Life Membership	400.00	560.00

(Note: Euro's based on 1,39/£, prevailing rate will apply at application)

http://www.clanmacdougall.co.uk

Cheque/ Euro Cheque payable to Clan Mac Dougall Society Ltd.

Clan Mac Dougall,
77 Merryvale Ave.,
Giffnock,
Glasgow,
G46 6DE.

michele_mcdougall@hotmail.com
clanmacdougalleu@aol.com