Join Int. Assoc. of Clan MacInnes

International Association
of

CLAN MacINNES
MEMBERSHIP REGISTRATION
Important update on membership renewal -click here
Instructions:
1) Fill out this form.  Hit the check button.
2) Check your work in the next page.  Correct or select payment type and submit.
3) Print your form.  Submit your check or continue to Paypal for credit card or eCheck payment.
All applications for membership from residents in the United Kingdom, Europe, Australia, and New Zealand should contact:.
Jean Alexander
11 Cullipoll
Isle of Luing, Nr. Oban
Scotland PA 34 4UB
TEL/FAX 01852 314242
email: jean@macinnes.org
For inqueries for the U.S and the Americas, contact our Membership Director by email.
Eric MacGinnis Perry
14 Jakes Lane
Dexter, ME 04930-2194 Telephone (207) 924-6565

(Fields in red are required) (Do not print this page, please use the submit button)

Membership Status            Renewal      New   Please choose new if you are a new member
Membership Category
One year Two years Three years Four years Five years Lifetime (see below) Over 65 Lifetime
Donation? (whole numbers)   General Fund Donald MacInnes Fund Mary Faulk Fund Glencoe Heritage Trust Kiel Church
(The funds are in the same currency as below and will be added to the total at the end)
Is this a change of address for you? No Yes
Your own information;
First Name
Last Name
Address1  
Address2  
City           
State/Province
Zip/Postal   
Country    

Country currency    U.S. Dollars U.K Pounds Sterling Europe Euros Australian Dollars   Canadian Dollars  
                              Other - Paypal can convert currency from 36 different countries
 Email Important!
Home Phone xxx-xxx-xxxx
Spouse         
Maiden name
Minor children - name, ages, m/f

Clan Relationship    Paternal Descendant Maternal Descendent
    Friend    Spousal       Other  
Special Interest    Genealogy History Folklore Music/Dance
    Athletics    Travel       Art/Literature  Gatherings/Games
    Other  
If a descendant, please list any pertinent genealogical and family historical data (names, places, dates, etc.) and any other general information about you and your family, or ancestors which might be of interest to others or might help make family connections.

Is this a gift to another person?       No Yes