Clan Menzies :: Society :: Enrolment Formt

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CLAN MENZIES SOCIETY ENROLMENT FORM

Join and pay online. We accept Visa, Visa Electron, Mastercard, Switch, Delta, Solo, and Maestro.
All our online payments are handled by PayPal, and a PayPal account is not required.

We regret that all prices on the website include a 5% administration fee which is outwith the control of the Society.

If you would prefer to pay by cheque or bank transfer, please fill out this form.

New Subscription Rates to take effect from 1st June 2010

Your Contact/Personal Details

Please enter your contact details below. All fields marked with an asterix * are required.
First Name*
Middle Name (if applicable)
Last Name*
Date of Birth *	/ / DD/MM/YYYY
Street Address 1*
Street Address 2
Town/City*
County/Region
Country*
Postcode/Zip*
Telephone No*
Your Email Address*
Confirm Your Email Address*
How did you find out about Joining?*

Membership Type

Please select which type of membership you require. Family membership is for a family comprising 1-2 parents and each of their children under 18 years, until their 18th birthday - you will be asked for the names & dates of birth of all family members. Life Members receive a complimentary Menzies crested gift and Clan Menzies certificate amongst other items. A Menzies welcome gift is also sent to other categories of new member. All new members receive a detailed Members' Handbook.

Individual 5 Year Membership - £52.50

Individual 10 Year Membership - £94.50

Individual 20 Year Membership - £157.50

Individual Life Membership - £210.00

Joint Life Membership (for a couple living together) - £275.00

Family Life Membership - £315.00

Previous SocietyID

Please enter your SocietyID in the box provided below.
Previous SocietyID (leave blank if not applicable)

Authorisation

I DO NOT give permission for use of my contact details in a directory only available to Clan Menzies Society members.

Verification

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