Print out membership application form, fill it out and mail it in with your dues. Make check payable to Clan MacLeod Society, USA and mail to The Clan MacLeod Society, USA, P.O. Box 70928 West Valley, UT  84170-0928.

The Clan MacLeod Society, USA Inc.
Membership Application Form

MEMBER:

Name: Date:
Address:
City:State:Zip:
Date of Birth ( MM/DD/YY ):
Email Address:
Telephone( with area code ):
Occupation:
Sept ( if applicable ):

SPOUSE:

Spouse ( maiden name, if applicable ):
Date of Birth ( MM/DD/YY ):
Email Address:
Occupation:

CHILDREN:

Name: Date of Birth (M/D/Y):
Name: Date of Birth (M/D/Y):
Name: Date of Birth (M/D/Y):
Name: Date of Birth (M/D/Y):

DUES:

1 Year Adult - $25
1 year Youth ( up to age 18 ) - $10
Lifetime one payment - $500   Lifetime two payments - $250  Lifetime five payments - $100

Clan MacLeod Society, USA.
PO Box 70928, West Valley, UT  84170-0928.
Revised: 08/21/07