CLAN MACLENNAN USA
Membership Level (Circle One)
Adult (Ages 18 to 63) - $20.00 Lifetime - $250.00
Youth Only (Ages 5 to17) Please note this is a non-voting Membership - $10.00
First Name: Maiden Name:
Last Name : Address:
Zip code: Phone: ( ) Cell: ( )
Birth date: Month Day Year So we can remember your birthday with a card!
Email: Clan Connection:
Do you attend any Events/Festivals/Games? If so, where?
Do you have children in your family who might be interested in the Youth Pages? Age (s)
Tell us about yourself - play drums or bagpipes, Highland dance, want to convene an event, interested in genealogy, clan history, want to serve on a committee or the board, etc.
Any suggestions for us?
Any questions for us?
Mail to: Banning P. McKeon
11757 W. Ken Caryl Avenue #134
Littleton, CO USA
(Please make all checks payable to Clan MacLennan USA)