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FRIENDS OF THE CLAN MACLEAN HERITAGE TRUST A charity

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					                         FRIENDS OF THE CLAN MACLEAN HERITAGE TRUST
                            A charity registered in Scotland no. SC024481

                                        MEMBERSHIP APPLICATION

Annual subscriptions, which are for the calendar year, are £15 for individuals and £25 for families (husband,
wife and dependent children). Subscription is not restricted to members of Clan Maclean.

Please complete in BLOCK CAPITALS

Surname                                                                         Title (Mr, Mrs etc)

Forename(s)

Address




Postcode                                                             Country

E-mail

I/We wish to join the Friends of the Clan Maclean Heritage Trust and to pay:

                        Subscription (Individual @ £15.00 or Family @ £25.00)       £

                        Donation (optional)                                         £

                        Total                                                       £


         I enclose a cheque payable to the Clan Maclean Heritage Trust for the above total


         Please charge the above total to my credit card (Visa or Mastercard only, not Amex):


         Card no.


         Valid from                           (MM/YY)          Expires end                      (MM/YY)


         Name on card                                                           Security no.

         Please tick this box if you would like to make future payments by standing order. A mandate form will then be
         sent to you.

         We may keep your details on an electronic database, which is used only for membership purposes and will not
         be divulged or sold to any outside body. If you do not wish your details to be included, please tick this box.

 Signature                                                                          Date

If you are a UK taxpayer we should be most grateful if you would complete a Gift Aid declaration (attached or
downloadable from [insert URL]), which greatly increases the value of your subscription at no cost to you.

Please send the completed form(s) to the Secretary:        Malcolm F. Maclean
                                                           9 Blythe Court
                                                           4 Grange Road
                                                           Solihull
                                                           B91 1BL
                                                           United Kingdom

				
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posted:9/26/2011
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