ST.
ANDREW’S SOCIETY OF CENTRAL NEW YORK
MEMBERSHIP
APPLICATION
The objectives of this Society shall be to perpetuate
Scottish traditions and culture, to promote the establishment and growth of
Clan Societies and Scottish Organizations, to encourage and support the
activities of Scottish events, and to dispense charitable and educational
assistance to persons who are lineal descendants of Scots. (SASCNY Bylaws sec. 1B).
RENEWAL__________________________
NEW MEMBER______________________
SPONSOR ______________________________
DATE ______________________________ (Not
required)
NAME:
Full name of
applicant________________________________________________________________
Full name of spouse (if applicable)
_____________________________________________________
Maiden name (if
applicable)___________________________________________________________
ADDRESS:
Street or P.O. Box
___________________________________________________________________
City, State, Zip______________________________________________________________________
Telephone: Home______________Business__________EMAIL
address_____________________
GENEALOGICAL
INFORMATION:
Applicant Place of
Birth______________________________________________________________
Spouse Place of
Birth________________________________________________________________
Clan affiliation(s) (If
known)__________________________________________________________
TALENTS
AND INTERESTS:______________________________________________________________
_________________________________________________________________________________________
STATEMENT: I support the objectives of the St. Andrew’s
Society of Central New York, and wish to apply for membership.
Signature(s)
_____________________________________________________________________________
ANNUAL
DUES: $15.00 Individual Mail
to:
$20.00 Family Diane Bowes
7612 Van Buren Road,
(315-638-4458).
Make
check payable to: Baldwinsville, New York 13027