Application for Membership

                                   PO Box 533, Williamsburg VA 23187

Full Name:  ___________________________________________________

Are you, applying as a new member  or as a Spouse  Son  Daughter  in the same household of a current member (check one)?

Member’s Name if you are a spouse/son/daughter: ____________________

Address:  _____________________________________________________

Telephone(s):  _________________________________________________

E-mail:  ______________________________________________________

Date and Place of Birth:  _________________________________________

Schools/Colleges:  ______________________________________________

Business or Profession:  _________________________________________

Spouse's Name (if not a member): _________________________________

Names and Ages of Children:  ____________________________________

Nature of Scottish Ancestry: ______________________________________

_____________________________________________________________

Scottish Interests – (History, Literature, Arts, Clan Affiliation etc):

_____________________________________________________________

Clan Affiliation or Membership: ___________________________________

Date: __________    Signature of Applicant: _________________________

To the best of our knowledge, the above applicant is of sound character, over the age of 21 years and is entirely suitable to membership in the Society.  Applicant will actively participate in the functions of the Society as circumstances allow and will perform conscientiously any duties undertaken. 

Sponsor:  ___________________________     Date:  ______________

Co-Sponsor:  ________________________     Date:  ______________

Checklist for Membership:

Initial Individual Membership in a Household– Initiation ($20.00) plus First Year’s Dues ($40.00). Total of $60.00.

Additional  Membership within same household – Initiation ($20.00) plus First Year’s Dues ($20.00). Total of  $40.00.

Your check made out to: St. Andrews’ Society of Williamsburg

A Small Photograph of you suitable for digitization.

Completed Application with address, phone number and e-mail address included.

NOTE: All memberships are individual and only one applicant per application.