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Name:________________________________________________
Address:______________________________________________
City:_____________State:______Zip:_________Country:_____
Phone:________________________________________________
E-Mail:_______________________________________________
Additional Family Members
Name Relationship
________________________________ ____________________________
________________________________ ____________________________
________________________________ ____________________________
________________________________ ____________________________
________________________________ ____________________________
Areas of interest
qART qHIGHLAND GAMES
qDANCE qHISTORY
qGAELIC qLITERATURE
qGENEOLOGY qMUSIC
qPIPES qNEWSLETTER
qADMINISTRATION qCLERICAL
qOTHER:______________________________________________________
GENEOLOGY
FATHER ______________________ MOTHER ________________________
FA FA ______________________ MA MA ________________________
FA MA ______________________ MA FA ________________________
Membership includes a quarterly newsletter and any other future benefits that the Clan Drummond Society agrees upon. Membership also is needed to be an officer in the Clan Drummond Society.
Fees:
Individual membership is $20.00 a year or 4 issues of the newsletter
Family Membership is $20 plus $2 per extra person in same residence. This will also be for one year or 4 issues of the newsletter
All prices are in US Currency
Send To:
Clan Drummond Society
c/o William Drummond
1031-D Nursery Rd.
Chipley, FL 32428
USA
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