Print this form and mail it with a check to the address below.
The annual membership fee to Clan MacMillan North Central States is $20.00 per person. For new members a one-time only fee of $25 for the first year. First-year members will receive a membership badge.
First name________________________ Middle initial ____ Last name ___________________
Address _______________________________________________________________
City___________________________________ State _______ Zip___________
Phone ______________________E-mail _______________________________________
My relationship to Clan MacMillan is: __Family __Marriage __Parent __Grandparent __Great-grandparent __Kindred spirit Other
Clan MacMillan International requires us to make a list of members available to all members of our branch. Please check below any contact information you’d like made available to other members: __e-mail __phone number __ address.
I am interested in: __ Social activities __ Scottish history __Genealogy __Participation in Scottish festivals and events __Other (explain):
Please make out a check for the appropriate sum to "Clan MacMillan". Mail the check and this completed form to:
Judy MacMillan
11020 Sumter Ave. N.
Champlin MN 55316-3268
All information submitted will be used for branch administrative purposes only and will not be made available to any other person or organization except where approved by you. This membership applies to Clan MacMillan North Central States branch only. Memberships to Clan MacMillan International are through the Clan Centre in Scotland.