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

12/31/2021

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.
Please be sure to complete your application by going to the PayPal link after you submit this form.