Full Name:

Home Address:

Home Phone:

Home E-Mail:

Date of Birth:

Occupation:

Business Address:

Bus. Phone:

Bus. E-Mail:

Spouse (if married):

I would like one of the following (all except Junior Membership):

The Highlander Magazine

$20 tax deductible gift to the Scottish Home

I would like to volunteer in the following areas:

Highland Games

Scottish Home Picnic

Society Meetings/Dinners

Scottish Home

Library

Genealogy

Other

Please list other talents or ways in which you would like to volunteer:


 

For more information call 708.447.5092 x361
Or e-mail us:
Brook McWhirter