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Please complete the following and mail it to: Clan Graham Society 516 Central Ave. Summerville, SC 29483-3710
Membership Application U. S. A. Please Print Legibly
Name: First__________________________________Middle_______________________Last_______________________________ Spouse: First ________________________________Middle ______________________Last________________________________ Wife’s Maiden Name: _________________________________________ Street Address: _______________________________________________________________________________________________ City______________________________________State________________________________ Zip Code_________________________ Country__________________________________________ Telephone (_______)________________________ I prefer my name to be listed on the membership card as:____________________________________________________________________________________ Spouse: ___________________________________________________________________________________ (Maximum 26 characters including spaces) Annual membership dues are not required of children under eighteen (18). The Annual Membership Dues shall be the same for all Membership Types. (Check One)Membership Type: ____ Regular Member ____ Regular Member and Spouse ____ Associate Member ____ Associate Member and SpouseMake all Checks payable to Clan Graham Society.USA $25.00 for CLAN GRAHAM NEWS in hard copy or USA $20.00 for electronic copy ofCLAN GRAHAM NEWS E-mail______________________________________________________________________ Please Print Clearly. Payment Type: Cash _____ Cheque _____ Credit Card _____
E 2007
Completion of Application form: Please print clearly
Please print the name that you want printed on your ID cards. Use a maximum of only 26 letters including spaces. Memberships include the regular member and spouse and children under the age of 18. Membership dues are $25.00 per year for all 4 types of membership. These members will receive the hard copy of the Clan Graham News Letter. Clan Graham is aware of the need to conserve our natural resources and so we have instituted the electronic membership version. This membership costs $20.00 per year for all 4 membership types. These members will receive the Clan Graham News Letter by E-mail. Your E-mail address must be printed clearly so delivery will not be delayed. Also your mail server must be able to accommodate files in the 5mb range. . Thank you and welcome to the Clan Graham Society. Norris Graham Membership V.P.
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