Membership Application:

CLAN COLVILLE SOCIETY:

The goal of the Clan Colville Society is to have a membership made up of people of Scottish Decent bearing the various spellings and associations of the name Colville. Its purpose is to encourage members to interest themselves in all social and cultural matters relating to the Society; to preserve and present the culture, history, heraldry, pageantry, music, literature, crafts, sports and arts of Scotland; especially as they may relate to the Scottish Clans or Families. Each prospective member is encouraged to furnish their family information, footnoted with source data, for inclusion in a computer genealogy based program which will be established to assist our members in genealogical research.

Circle the ACTIVITIES you would like to participate in and add any ideas:

Name: ______________________________________Birth Date: ________________________________________Place of Birth: ______________________________

Address_____________________________________________________________________City: ________________________________________________________

State/Province:________________________________________Country__________________________ZIP/Postal Code: ___________________________________

E-mail address__________________________________________________________________________Telephone: ________________________________________

Spouse name: ____________________________________________Birth Date: _________________________Place of Birth: ________________________________

List all family members residing at the applicant's residential address: ___________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________

(I am)(My spouse is) of Scottish descent and a lineal descendant of *: __________________________________________________________________

If the surname is not of Colville or other spellings or associations of the name, show name and relationship of forebear’s Scottish/Irish qualifying you as a member. I declare that the facts above are true, to the best of my knowledge, and I will observe the By-laws and promote the welfare of the Society. All family members at this one residential address listed above are included in your family membership.

I, (undersigned) hereby apply for the membership in the Clan Colville Society, under the provisions of the by-laws thereof:

Signature X___________________________________________________Date_________________

Please attach check or money order in the total amount of $100.00 New Lifetime Membership or prior annual due member of $50.00 (to continue with a Lifetime membership) payable to "Clan Colville Society" and send application to:

Clan Colville Society

7751 S. KALISPELL COURT

ENGLEWOOD, CO 80112-4648

Hosted by www.Geocities.ws

1