SCOTTISH SOCIETY OF KNOXVILLE APPLICATION FOR
MEMBERSHIP
Submission date: _________________ Approval date: _________________
Renewal_________
Name:
_______________________________________________________________________
Mailing Address: _______________________________________________________________
_____________________________________________________________________________
E-mail Address: ________________________________________________________________
Phone Number: ___________________
Membership type: FAMILY __________($25) INDIVIDUAL ____________($20)
Spouse: _____________________________________________________________________
Others in family under age 21: _____________________________________________________
Clan Heritage: _________________________________________________________________
Sept: ________________________________________________________________________
If native Scot, give birthplace: ______________________________________________________
Other Scottish organization memberships: _____________________________________________
_____________________________________________________________________________
Business or profession (Indicate active (A) or retired (R): ________________
Applicant: ____________________________________
Spouse:
______________________________________
Print membership application, complete and make checks payable to:
SCOTTISH SOCIETY OF KNOXVILLE
Submit to: Membership Committee, Scottish Society of Knoxville, P.O. 50411,
Knoxville, TN 37950-0411