Enrollment Form

CLAN MENZIES SOCIETY, NA

(Includes full membership in the Society in Scotland and the United States.)
(Please make checks payable to The Clan Menzies Society)

Please print and mail, along with payment and Ancestors' Chart, to:

United States
D. Mathewes, Commissioner     
323 Rough Water Point
Canton NC 28716-8196
Email

Annual Membership
Individual ____
Family ____
$30 per year for 5 consecutive payments
$40 per year for 5 consecutive payments
One Time Joining Fee $50
One Time Joining Fee $80
Name(s)
Date(s) of Birth








(Those over 60 years of age pay half price.)

Life Membership

Individual ____
Family ____
$300 Single Payment
$400 Single Payment
Name(s)
Date(s) of Birth








(Those over 60 years of age pay half price.)

Contact Information 

Name: __________________________________________________ 

Spouse: ________________________________________________ 

Address:________________________________________________

City: _____________________________, State: ______ Zip + 4:_______ +________

Phone: Home (___) _____________________________ Work or Cell (____) _______________ 

e-mail: __________________________________

Person or place you can always be reached should you move and/or relationships to Menzies:
_______________________________________________________________________

I give permission for use of my contact details in a directory available to Clan Menzies Society members.

Link to Ancestors' Chart to be included with Enrollment Form.

Contact Jamie Mennie for Canadian Membership Information
49 Collins Cres.
Aurora, ON L4G 2W1
Email