CMS Member Application

Membership Form

We welcome you to Clan MacKinnon Society!
New Member Name

First NameLast Name
New Member Mailing Address

Street Address

Street Address Line 2

CityState / Province

ZIP / Postal CodeCountry
New Member's Email
New Member's Phone #
New Member's Spouse's/Partner's Name

First NameLast Name
New Member's Spouse's/Partner's Email (if they wish to receive our e-newsletter too)
example@example.com
Please list your children below (first and last names) if they are younger than age 18 and you would like for them to receive a membership card as well.
How did you hear about Clan MacKinnon Society?

Other
Where was the clan tent?
What is their name?
What made you interested in joining the Society?
In what ways might you be interested in helping the Society? With committee work? Hosting a clan tent? Becoming a regional commissioner? Other voluntary ways?
Any additional comments or questions? (If this is a membership gift for someone else, please indicate the gift-giver's name and email here.)

1-Year Membership$25.00

2-Year Membership$45.00

(Save $5)

3-Year Membership$65.00

(Save $10)

4-Year Membership$85.00

(Save $15)

5-Year Membership$100.00

(Save $25)

Lifetime Membership$625.00

(One-time payment)

OPTIONAL DONATION$10.00

Choose what amount you would like to donate:
Item subtotal:

Total $0.00

Membership Form