| CLAN AN CU Membership Application Form |
| Email: [email protected] |
| Date ______-______-_______ |
| To copy this Form, Please make sure that you close out any advertisments that might be on this page. Next, just click on your print button in your browser and then fill it out and mail it to our Clan Chief |
| Name: ___________________________________________________ Age:_______ Address:_______________________________________________________ City:_______________________ State:____ Zip Code:_________ Phone:__________________ Email:_________________________________________________________ Do you know of any Scottish ancestors? If so, please tell a little bit about them. ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Please tell us a little bit about yourself. ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ___________________________________ Your Signature |
| Please forward all correspondence to: Britt Brinson 116 Flintview Drive Cordele, Georgia 31015 |
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