Clan MacMillan Society
Glengarry and Ottawa Valley
Branch Membership Registration

Please note: Although it is not likely that you will experience any problems submitting this form, some corporate firewalls may prevent delivery. If you experience any difficulties, (or if you are not using a forms-capable browser) you can print your completed form and mail it to the Branch Secretary (mailing address at bottom of form).

Prefix: First Name: Middle/Init: Last Name: Suffix:
Address: City: Prov/State:
Country: Postal Code: Phone (area code):
Email: Fax:

Family Members: I wish to include the following dependents;

First Name

Middle/Init

Last Name

Relationship

My connection/relationship to Clan MacMillan (or a Sept of MacMillan):  Multiple items may be chosen.

    Kindred Spirit
    Family
    Marriage
    Great Grandparent
    Grandparent
    Parent

My interest in Branch activity is at the level of:

Areas of special interest:  Multiple items may be chosen.

    Gaelic songs and language
    Family history
    Genealogy
    Clan tours

Preferred method of communication:

Comments:

All information submitted is strictly for Branch administrative purposes and will not be made available to any other person or organization without your express consent.

Please Note: Branch Membership yearly fees increase to $25 Cdn per family, as a result of unanimous approval of a motion at the Annual General Meeting, October 4, 2003.

Membership is valid for 12 months, October 1 to the following September 30.
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Please send membership payment ($25.00/family/year, payable to Clan MacMillan)
by regular mail to:

Jerry Stubbings
Branch Secretary
28 Wedgewood Crescent
Ottawa, ON
K1B 4B4

Return to the Branch Index Page www3.sympatico.ca/comflex/mcmillan/index.htm

Modified Sunday, July 24, 2005, by: 
ComFlex Services