Clan Lamont Society Membership Form

Application for Membership

Please enroll me as a member (tick the appropriate circle)

O-Life Member - £175.00

O-Annual Member - £30.00 per member (renewable annually on 1st March).

O-Junior Member - £7 (under 18 years of age)

Please find enclosed my cheque to the value of £………… (enter amount) made payable to the “Clan Lamont Society”).

I agree to abide by the Constitution and Rules of the Clan Lamont Society.

Signature………………………………………………

PLEASE COMPLETE IN BLOCK LETTERS.

Title:- ………………..

Surname…………………………………………………

First Name: ……………………………………………………………………..

Address:- ……………………………………………………………………..

……………………………………………………………………..

……………………………………………………………………..

Postcode:- ……………………………………………………………………..

Tel No. inc. code:- ……………………………………………………………..

E-mail contact details: ………………………………………………………..

Please print the membership form and post to the address below, thank you.

Jim Lamb

The Old Manse ,

Inverchaolain,

Dunoon

Argyllshire

Tel.No. 01369 870008

Date Membership Start

Membership Category

Council Approval