The Clan MacDuff Society
of America, Inc.

Membership Application

Mail this application to:
Evelyn C. True, Membership Chairman
185 Pine Haven Shores Rd. #112
Shelburne, VT 05482









Clan Motto: Deus Juvat
(God Assists)
Gaelic Name: MacDhuibh
Membership is open to:
1.     Persons of Scottish descent bearing the name of and/or being descended from any of the Clans or Septs of Clan MacDuff.
2.    Persons married to descendants of 1.
3.    Persons having one of the family names with historical connections traceable to Clan MacDuff territory.

Please print or type


Name:	____________________________________________Birthdate:______________________ 

Address: ________________________________________________________________________
 
City:________________________________ 	State: _________________    Zip: ________________ 

Telephone: (________)__________________	Occupation: _________________________________ 

E-Mail Address: _________________________	Fax Number: (________)___________________

Spouse’s Name: _________________________________   Birthdate: ________________________
 
Dependent Children (include birthdates, please):

________________________________________________________________________________

________________________________________________________________________________

Name of earliest known Clan MacDuff ancestor and place/date of birth:

________________________________________________________________________________

Where/how did you hear about The Clan MacDuff Society of America?

________________________________________________________________________________

Please check any of the following Clan MacDuff Society activities which might be of interest to you:

___ Computer Work	___ Genealogy    ___ Highland Games   ___ Newsletter    ___ Publicity

___ Other: (Please specify) _________________________________________________________
Membership Desired:

___ Single Membership:......................$15.00

___ Family Membership: .....................$20.00

Includes children under age 18

Amount Enclosed: $ __________________ 


Note:   Annual dues are payable on June 30 each
           year. New members joining after January 1
           will be assessed one-half annual dues.

Please make checks payable to:
THE CLAN MACDUFF SOCIETY OF AMERICA, INC.

Location joined: __________________________
Signature: ___________________________________      Date: ________________________