APPLICATION FOR MEMBERSHIP
IN CLAN ROSS ASSOCIATION OF CANADA



NAME     __________________________________________________________

SPOUSE     _________________________________________________________
		
ADDRESSS     _________________________________________________________

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POSTAL CODE________________________________________________________


TELEPHONE	_________________________ FAX: ___________________________

E-MAIL		_________________________________________________________ 

DATE			________________________________________________

If your surname is NOT Ross or a Sept name, please state your relationship to Clan Ross:

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Please print this form out and return it with your membership fee of:
1 year for $15.00 (individual or family)
to:
The Clan Ross Association of Canada Inc.
c/o Barbara Fletcher, Membership Chair
66 Crestwood Crescent
Winnipeg, Manitoba
R2J IH6
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