Membership Application

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

Please accept my membership for:

• __ Individual ($15)
• __ Family ($20) (self/spouse/minor children)
• __ Sustaining ($25)

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. Meredith L. Shaw
3031 Appomattox Ave, #102
Olney, MD 20832
USA

This page was last updated on May 31, 2008