Membership Renewal Form

Address

Date of Birth:

Spouse:

E-Mail(s)

Family Genealogy: If surname is not recognized as one of the Septs of the Clan, briefly state your relationship.

Use the back of the Application if necessary.

Surname- First-

Annual Membership Dues For The Mid-Atlantic USA Clan Branch: $20.00 Per Annum.

Annual Membership Dues For The Clan International Organization: $25.00 Per Annum.

Combined Dues for Both The Mid-Atlantic Branch and The International Organization is $45.00 Per Annum

Name

Todays Date:

Please Include Your E-Mail Addresses

is used Communication Only & Not Given Out To Anyone!NOTE: This for Clan

Cell-

(”Donn-A-Key” = Children of Duncan)

19354 Barrens Rd. South Stewartstown, PA. 17363-7638

Nam

e: N

ame:

Nam

e: N

ame:

Cell-

Cell-

Cell-

www.donnachaidh.com

Reid

Mail Your Applications To: Clan Donnachaidh Society 19354 Barrens Rd. South Stewartstown, MD. 17363-7638

www.donnachaidh.com

Please Print Clearly

I have Been A Member Since:

Children:

Enclosed Is A Check or Money Order In the Amount of

Check or Money Order Number #

NOTE: Some of the information above may be repeated from your original membership application. This is to update and fortify our latest set of records, that are being logged for the local clan history. The email address are to facilitate the output of a news letter which can eventually be sent out on a regular basis without the great time consuming “snail mail” process and all the expenses accompanying that endavor.

International Membership # If Applicable:

Please Send Remittance To: Clan Donnachaidh,