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 over 50 - $500.00   Lifetime 30 to 49  - $750.00   Lifetime under 30 - $1000.00 

Clan MacLeod Society, USA.
PO Box 70928, West Valley, UT  84170-0928.
Revised: 06/09/09