Membership Application
Under the Patronage of the Hereditary Chief of Kennedy, The Most Honorable, The Marquess of Ailsa
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthday
*
-
Month
-
Day
Year
Date
How can we help you?
Current Member - Paying Membership Renewal Dues
New Member - First Time Membership Payment
What is the membership level you'd like?
*
One Year ($35) - Annual Auto Renewal
One Year ($40) - Annual Auto Renewal outside USA
Three Years ($90)
Three Years ($100) - outside USA
LifeTime ($400)
Lifetime - 60+ Senior Discount ($300)
Continue
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