Scots-American Society of Brevard Membership Application

Scots-American Society of Brevard Membership Application

Thank you for your interest in becoming a member of the Scots-American Society of Brevard! We welcome all of those living in Brevard County, Florida, with Scottish Heritage, to be a part in celebrating the culture. Simply fill out the form below.
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Which events would you be interested in attending?

Any & AllScottish FestivalsLunchin & DinnersDancesActivity Planning Meetings
I am pleased to be a Scots-American Society of Brevard member at the following annual membership level:

Individual $30Couple $45Family $60
How did you hear about us?

InternetReferralsFamily/FriendsNewsletterWebsiteSocial MediaOther
Please provide a brief description for your reason for joining and list all the names and ages of your family:
Thank you. .
Thank You for Your Interest!

We appreciate your interest in joining the Scots-American Society of Brevard. Your application is important to us, and we look forward to reviewing it.

Membership fees can be paid in cash or check at the next scheduled Society Meeting. If you have any questions or need further information, please feel free to reach out.

Welcome to The Scots-American Society of Brevard!

Best regards,
The Scots-American Society of Brevard

Raymond Bell -President

321-720-6110

info@scotsbrevard.org
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