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Web Site:
http://www.clansinclairusa.org
Membership Classifications:
Family Membership (includes spouse and all minor
children)........................................$20.00/year
Sponsor
Membership...............................................................................................................$35.00/year
New Member 
Renewal
PLEASE PRINT
Last Name: ____________________ First: ________________
Middle:______ Birth Date:__________
Spouse Name:__________________ First:_________________
Middle:______ Birth Date:__________
MINOR
CHILDREN (Living at Home):
Name:_________________ Birth Date:__________
Name:_______________ Birth Date:__________
Name:_________________ Birth Date:__________
Name:_______________ Birth Date:__________
ADDRESS:
Street or P. O.
Box
_______________________________________________________________
City: __________________________
State/Province:_______________ Postal Code:___________
Telephone #______________________ E-mail
Address:__________________________________
Occupation:_______________________________
Interests:______________________________
CLAN CONNECTION: From whom in your family do you
inherit the name Sinclair or Sept name:
(Refer to the Sept List on the Clan Sinclair USA Web Site
noted above)
Father
Paternal Grandfather
Paternal Grandmother
Mother
Maternal Grandfather
Maternal Grandmother
Other
(Explain)_____________________________________________________________________
FOR OFFICE USE ONLY: Date Rec'd ________ Check Date
________ Email Sent ________
Card #__________ Expiration Date:_____________
Check #____________
Recorded In: Clan DB ______ MemDB ________ P&L_______
Card Sent_______ Deposited______
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