Clan Lindsay Association, USA, Inc.

Application for Membership
For Office Use Only
Reference No:  
Area Rep:  
Processed By:
  
Date:  

Instructions

Complete this form and mail it along with your check to:

Registrar
Clan Lindsay Assn. USA, Inc.
P.O.Box 222
Morrisville, NC 27560
 Make your check payable to:

Clan Lindsay

Applicant Information

My full name as I want it to appear on my membership certificate: ___________________________________________
Street address: ___________________________________________
___________________________________________
City: __________________________ State:___________
Postal code or Zip+4: ________________ Phone: ____________________
E-mail: ___________________________________________

I understand the information on this application is a matter of public record and will be used by this organization to promote genealogical research in any manner it deems appropriate.

Signature:_______________________________ Date: _______________

Qualifications

My connection to the Clan is through the following surname, however spelled (circle one):

Lindsay
Septs:
 Armor bearers:
  Byers
Cobb
Crawford
 Deuchar
Downie
Fotheringham 		Rhind
Summers
Sumner		 Affleck

You must meet one of these criteria:

1.

My earliest known Scottish ancestor was:

____________________________________________
of the surname circled above and traced in the Genealogy section.
OR  
2.

I am the spouse of qualifying member:

____________________________________________.

Membership Type

Circle the appropriate fee. These fees include a one-time $5.00 initiation fee.

Membership level
Dues
Individual membership (for 1 year)
$25.00
Family membership (for 1 year)
$35.00
Junior-under age 18 (for 1 year)
$10.00
Life time:
60+ yrs
$150.00
40-59 yrs
$300.00
20-39 yrs
$450.00
Birth-19 yrs
$600.00

 

 

Genealogy

Please print and use only maiden names.

Member: ______________________ Spouse: ______________________
Date born: ______________________ Date born: ______________________
Where: ______________________ Where: ______________________
Date married: ______________________ Date married: ______________________
       
Child 1: ______________________ Child 3: ______________________
Date born: ______________________ Date born: ______________________
Where: ______________________ Where: ______________________
Date married: ______________________ Date married: ______________________
       
Child 2: ______________________ Child 4: ______________________
Date born: ______________________ Date born: ______________________
Where: ______________________ Where: ______________________
Date married: ______________________ Date married: ______________________

Complete at least enough to show your connection to the Clan.

Member's father: ______________________ Member's mother: ______________________
Date born: ______________________ Date born: ______________________
Where: ______________________ Where: ______________________
Date died: ______________________ Date died: ______________________
Where: ______________________ Where: ______________________
Date married: ______________________ Date married: ______________________
       
Grandparent: ______________________ Spouse: ______________________
Date born: ______________________ Date born: ______________________
Where: ______________________ Where: ______________________
Date died: ______________________ Date died: ______________________
Where: ______________________ Where: ______________________
Date married: ______________________ Date married: ______________________
       
Great grand parent: ______________________ Spouse: ______________________
Date born: ______________________ Date born: ______________________
Where: ______________________ Where: ______________________
Date died: ______________________ Date died: ______________________
Where: ______________________ Where: ______________________
Date married: ______________________ Date married: ______________________
       
2nd great grand parent: ______________________ Spouse: ______________________
Date born: ______________________ Date born: ______________________
Where: ______________________ Where: ______________________
Date died: ______________________ Date died: ______________________
Where: ______________________ Where: ______________________
Date married: ______________________ Date married: ______________________
       
3rd great grand parent: ______________________ Spouse: ______________________
Date born: ______________________ Date born: ______________________
Where: ______________________ Where: ______________________
Date died: 3rd great grand parent: ______________________ Spouse: ______________________
Date born: ______________________ Date born: ______________________
Where: ______________________ Where: ______________________
Date died: ______________________ Date died: ______________________
Where: ______________________ Where: ______________________
Date married: ______________________ Date married: ______________________

Please attach any additional information (additional spouse(s), children, extra generations, etc.) on a separate sheet of paper.

Thank you.