Membership Application

Clan Motto: Deus Juvat (God Assists)

Gaelic Name: MacDhuibh

Membership is open to:

1. Persons of Scottish descent bearing the name of and/or being descended from any of the Clans or Septs of Clan MacDuff.

2. Persons married to descendants of 1.

3. Persons having one of the family names with historical connections traceable to Clan MacDuff territory.

4. Family membership includes children under 18 years of age.

Please print or type, * needed for Family membership

Name: ____________________________________________Birthdate:______________

Address: ________________________________________________________________________

City: ________________________________ State: _________________

Zip: __________ - ________

Telephone: (________) __________________

Occupation: _________________________________

E-Mail Address: _________________________, The Clan MacDuff newsletter will be sent electronically, unless this box is checked. 

* Spouse’s Name: _________________________________

Birth date: ________________________

* Dependent Children (include birthdates, please):

________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name of earliest known Clan MacDuff ancestor and place/date of birth:

________________________________________________________________________

Where/how did you hear about The Clan MacDuff Society of America?

________________________________________________________________________

Please check any of the following Clan MacDuff Society activities which might be of interest to you:

___ Computer Work ___ Genealogy ___ Highland Games ___ Newsletter ___ Publicity ___ other: (Please specify) _________________________________________________________

Membership Desired:

___ Single Membership:......................$15.00

___ Family Membership.......................$20.00

Includes children under age 18

Amount Enclosed: $ __________________

Note: Annual dues are payable on June 30 each year. New members joining after January 1 will be assessed one-half annual dues.

Please make checks payable to:

THE CLAN MACDUFF SOCIETY OF AMERICA, INC.

Location joined: __________________________

Signature: ___________________________________

Date: ________________________

Print this application, complete it, and then mail it to:

Richard Cooper                                                                                                                                               Vice Convener                                                                                                                                                  1831 E Dallas Dr                                                                                                                                             Terre Haute IN 47802

If you're not in the Lakes States Region, then mail it to:

Kim Duprest                                                                                                                                     Membership Chairperson                                                                                                                         526 E. Charleston Ave                                                                                                                       Phoenix AZ 85023