Membership Application/Renewal Form

Please complete all applicable fields before submitting.
* required fields
Your Name: *
Preferred Name:
Your Spouse's Name:
Address: *
City: *
State: *
Zip Code: *
Country: *
Phone: *
Email:
Do you prefer the newsletter sent by email or postal mail? *
Email Postal Mail
Please list names of children (& ages) under 18:

CURRENT MEMBERSHIP EXPIRATION

12/31/2017

Membership Type: *
New Renewal
Membership Length: *
1 Year - $20.00 3 Year - $50.00
(Membership year begins on January 1st thru December 31st, which includes individual member, spouse and all children under 18)
I am interested in becoming more involved: *
Yes No
NEWSLETTER: I have access to the Internet and would like an email copy. *
Yes No
Permission is hereby granted to include my name, postal, and email address in a Directory which will be circulated ONLY to all members of Clan Forrester Society. *
Yes No
Comments (if needed):
Digital Signature: Please type your initials in the box below to show your agreement with the information provided above. *
All information disclosed within this application will ONLY be used for Clan Forrester Society purposes. We do not sell our membership list to any other organization or party.