Membership Application
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Name(s):___________________________________________________________
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If family, names of children:_____________________________________________
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Street Address:______________________________________________________
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City:_________________________ State:__________ Zip:___________________
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Phone:_____________________ Email Address:_____________________________
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Clan(s):_____________________________________________________________
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Areas of Interest:
Genealogy ____
Country Dancing ____
Highland Dancing ____
Piping ____
Social Programs ____
Other____
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Annual Dues (Jan. to Dec.): $25.00 Family
$15.00 Single
(1/2 Price after June 1)
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Print; fill out; and mail to:
Scottish Society of Dallas,
Attn: Becky Hopkins
1548 N. Galloway Ave. #318,
Mesquite, TX 75149
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