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.
