| Please check membership category:
Individual: _____
Family: _____ (List
spouse's name also)
New Member: _____
Renewal: _____
Annual membership dues: Individual:
$15, Family: $20 (upon the initial dues payment, dues are payable
in January of each year)
EMAIL:
_______________________________________________________
TELEPHONE:
__________________________________________________
FULL NAME:
__________________________________________________
COMPLETE ADDRESS:
_________________________________________
_________________________________________
_________________________________________
I am interested in volunteering for
the following committees and activities:
Membership _____
Publicity _____
Newsletter _____
Special Events _____
Social Activities _____
Web Page _____
Education _____
Historian _____
Area Convener _____
Note: Information
on the locations/dates/times of various scheduled membership
meetings and gatherings in each particular locale (and the contact
info for the nearest coordinating Area Convener) will be
communicated to the membership on a regular basis. Completed
applications and attached dues payments can be mailed to: The
Ulster-Scots Society of America, PO Box 724, Matthews, NC,
28106-0724. For more information contact Paul Smallwood
(President, Ulster-Scots Society Of America) at email:
ulstermen@yahoo.com or
telephone 919-380-0383. Alsor Diane Campbell (Membership
Secretary) at email: decmpbl@carolina.rr.com.
___________________________________________________________________________
Signature/Date |
