NORTH AMERICA
Membership Application Form
Personal Information
Name: _______________________________________________________________________________
Street Address: _______________________________________________________________________
City, State/Province: ___________________________________________________________________
Postal or Zip Code: _______________________________
E-Mail Address: _________________________________
Membership Dues
Enclosed is a check made payable to the "Clan Phail Society in North America" for the following amount (check as appropriate): US $20 for an entire calendar year, or US $10 for membership after July 1.
Society Involvement
Please join in! If you'd like to get involved as a convener, or to share genealogical information, or to help at your local clan tent, please write a short note on the back of this form. Thanks!
Please send this completed form and your check to:
| Clan Phail Society in North America |
| % Bill McPhail |
| 403 1/2 Garfield St. So., Box 16 |
| Tacoma, Wa. 98444 |