of the Clan Cameron Association of North America


MEMBERSHIP APPLICATION


To join Clan Cameron Lake Michigan, please fill out the following form and either mail or hand deliver at one of our scheduled events.   During the year 2003 the Lake Michigan Branch has "open enrollment" for all new members, allowing any and all area Cameron families to join free of charge.  That's right - the best deal on the Net!  New members are also able to e-mail the requested information from this page to us, and join via the Internet - as we mentioned before, free of charge for their first year.  Beginning in the second calendar year of membership, dues are a reasonable $10 for single members, and $15 for a family.

PRIMARY MEMBER NAME: ________________________________________
MAILING ADDRESS: ________________________________________
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PHONE NUMBER: ______________________________
E-MAIL ADDRESS: ________________________________________
SURNAME AFFILIATION
(CAMERON, TAYLOR...)
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AREAS OF INTEREST: ________________________________________
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SPOUSE: ________________________________________
CHILDREN: (only list if living with parents) ________________________________________
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(NOTE: Spouse and children are included under each family membership, and need to be added to the chapter roster in order to be counted toward our membership)
INVOLVEMENT
(OPTIONAL):

The Lake Michigan Branch desires to unite its members under the common bonds of the Cameron Clan.  Whether you have a special ability, resources available, or just time on your hands, we could use your assistance.  Whether you are able to assist in organizing this chapter, or are able to offer a service to further our works in the Lake Michigan area, we would like to hear from you.  Please feel free below to lend your fellow Camerons a hand in uniting!

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MAIL TO:

CLAN CAMERON LAKE MICHIGAN
P.O. BOX 745
PLAINFIELD, IL 60544