International Association
of

CLAN MacINNES
MEMBERSHIP REGISTRATION
New membership renewal fee schedule-click here

Instructions:
1) Fill out this form.  Hit the check button.
2) Check your work in the next page.  Correct or select payment type and submit.
3) Print your form.  Submit your check or continue to Paypal for credit card or eCheck payment.
All applications for residents in the United Kingdom, Europe, Austalira/New Zeland should contact:

Ray McInnes
51 Burnaby Terr.
Gordon Park, Queensland 4031
Australia
TEL 07/3357-5241

For inqueries for the U.S and the Americas,
contact:


Eric MacGinnis Perry
14 Jakes Lane
Dexter, ME 04930-2194
Telephone (207) 924-6565

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Membership Status            Renewal      New   Please choose new if you are a new member
Membership Category
One year Two years - save $5! Three years - save $10 !
Lifetime (see below) Over 65 Lifetime Lifetime 5 yr payment Over 65 Lifetime 5 yr payment
Donation (tax deductable) (whole numbers)   General Fund Donald MacInnes Marker Fund Mary A. Faulk Scholarship Fund Eilean Munde Burial Isle General Scholarship Fund
(The funds are in the same currency as below and will be added to the total at the end)
Is this a change of address for you? No Yes
Your own information;
First Name
Last Name

Address1  
Address2  
City           
State/Province

Zip/Postal 
 
Country    

Country currency    U.S. Dollars U.K Pounds Sterling Europe Euros Australian Dollars   Canadian Dollars  
                              Other -
Paypal can convert currency from 36 different countries
Email Important!
Home Phone xxx-xxx-xxxx
Spouse         
Maiden name
Minor children - name, ages, m/f

Clan Relationship    Paternal Descendant Maternal Descendent
    Friend    Spousal       Other  
How did you find us?  Web Friend Newsletter Other
Special Interest    Genealogy History Folklore Music/Dance
    Athletics    Travel       Art/Literature  Gatherings/Games
    Other  
If a descendant, please list any pertinent genealogical and family historical data (names, places, dates, etc.) and any other general information about you and your family, or ancestors which might be of interest to others or might help make family connections.

Is this a gift to another person?       No Yes