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APPLICATION FOR MEMBERSHIP TO CLAN BAILEY INTERNATIONAL
CONTACT INFORMATION
NAME:_________________________________________________________________
ADDRESS:______________________________________________________________
CITY:________________________________ STATE/PROVINCE:________________
ZIP/POSTAL CODE:________________________ COUNTRY:___________________
PHONE:_______________________ E-MAIL:_________________________________
Full name as I want it written on my membership certificate (if different than above):
________________________________________________________________________
ACTIVITIES
I would like to hear about, discuss, or volunteer in the following Clan Bailey International activities:
______ Genealogy/Genealogical Research
______ Highland Games or other Scottish gatherings
______ Other activity I would like to be involved in ___________________________
DUES
Standard dues are US$35 per year.
I am including a check for US$________ for _____ year(s) membership fees.
Prices effective as of June 2008. For information regarding senior discounts, group rates, family rates, lifetime memberships, etc., please contact Treasurer James Bailey by e-mail at treasurer [at] clanbaileyintl [dot] com.
PLEASE MAIL COMPLETED APPLICATION AND CHECK TO:
Clan Bailey International
1802 North Pine Street
#D203
Canby, OR 97013 USA
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