MEMBERSHIP

Scottish Society of Knoxville Membership Application

Date:____________________

New Application or Renewal: _________________________

Membership type: Family ($25) __________ Individual ($20) _______

Name: ___________________________________________________________________________________

Spouse: _________________________________________________________________________________

Others in family under age 21: _______________________________________________________________ ________________________________________________________________________________________

Mailing address: __________________________________________________________________________

Phone number: ___________________ Email: ________________________________________________

Clan heritage: ____________________________________________________________________________

Sept: ____________________________________________________________________________________

If native Scot, give birthplace: _______________________________________________________________

Other Scottish organization memberships: _____________________________________________________ _______________________________________________________________________________________

Business or profession: ____________________________________________________________________

Active _____ Retired _____

Applicant: _____________________________________

Spouse: ____________________________________________

Print membership application and complete the form.  Make checks payable to: SCOTTISH SOCIETY OF KNOXVILLE

Mail to: Scottish Society of Knoxville, P. O. Box 50411, Knoxville, TN 37950