APPLICATION FOR MEMBERSHIP

Member of COSCA --
The Council of Scottish Clans and Associations, Inc.

CREST
Issuing from a crest coronet Or,
a demi-lion rampant Gules,
armed and langued Azure

MOTTO
Sur esperance
(Upon hope)

PLANT BADGE
Oak


Full Name ____________________________________________________________________________________
 
Spouse ______________________________________________________________________________________
 
Home Address ________________________________________________________________________________


                      ________________________________________________________________________________
 
Email __________________________________________        Telephone _______________________________
 
Vocation _____________________________________________________________________________________
 
Date of Birth __________________________________________________________________________________
 
Place of Birth _________________________________________________________________________________
   

I.

 Type of Membership Desired:     ___ Family ($25)     ___ Individual ($25)     ___ Associate ($25)
                                           Children under 18 are free

II.

 Please trace your Scottish Descent as far back as possible for Clan files on the Ancestry chart.
 
III. I declare that the facts set forth are true to the best of my knowledge and belief; and that, if elected to membership,
I will observe the By-Laws and promote the welfare of the Clan Moncreiffe Society.   My completed Ancestor Chart and Membership Fees are included with this Application.
 
   

_____________________________________________________
Signature of Applicant

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Mail dues, completed application, and ancestry chart to: 
Mike Moncrief
1405 Plaza Street St. S.E.
Decatur, AL  35603

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 The above named applicant is a member of the Clan Moncreiffe Society as of 

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Month/Year

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Membership Number

  

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Treasurer
 

MONCREIFFE   MONCREIFF   MONCRIEFF   MONCRIEF   MONTCRIEFF    MONCRIEFFE   SCOTT-MONCRIEF
 

c2007