The Scotch-Irish Society
of the United States of America
Founded 1889

APPLICATION FOR MEMBERSHIP

 

Name (Please print): _________________________________________________

Address (Please print): _______________________________________________

__________________________________________ E-Mail _________________

Ancestry: (Why do you identify yourself as Scotch-Irish/Ulster-American?) Continue on separate sheet if necessary.

 

 

 

Signature: ___________________________ Date:__________

Proposed by:*___________________ Seconded by: ___________________

Approved by: ________________________

* You may propose and second yourself. If you know one or more current members, ask them to propose and second you.


Application fee:  $15.00 (non-refundable)
Annual dues:   $20.00

Total:

  $35.00

Please include above amount with application and mail to:

Membership Officer
Scotch-Irish Society of the USA
PO Box 181, Bryn Mawr, PA 19010