Membership

Application

Please print this application and mail to the address below. Thanks!

CLAN SHAW SOCIETY APPLICATION FOR MEMBERSHIP

Please accept my membership for:

Enclosed is $_________

Name (Last/First/Middle or Maiden): ________________________________
Street: __________________________ City: ______________________
State or Province: ____ Zip or Postal Code: ______________
Telephone: __________________ E-mail: ______________________
Birthplace: _____________________
Occupation: ________________________
Spouse's Name: _________________________
Concise item of interest to get to know you better (optional): ________________________________________________________
Clan connection (Shaw or sept name): __________________________________________________
Interested in: __ Genealogy, __ Piping, __ Dancing, __ Athletics, __ Family Events

Signature of applicant: __________________________________ Date: _____________

The application should be printed out, filled out, and sent with a check to:

Clan Shaw Society
Mr.Mike Shaw, Clan Shaw Society Secretary
2403 W Crawford Street
Denison, Texas 75020
USA


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2015