from here - Clan Macpherson Association

Clan Macpherson Association
Application for Membership
Australian Branch
The wife of a member or a duly qualified applicant for Membership is eligible for full Ordinary
Membership or Life Membership, and if her husband is a Life Member or applicant for Life
Membership she qualifies for Life Membership on special terms. The husband of a member or a
duly qualified applicant for Membership is eligible for Associate Ordinary Membership or
Associate Life Membership provided he is not a member of another Clan on the male side.
A Joining fee is assessed on new first time applications in addition to below
listed fees, for all except Junior Members $ 10.00 AS
Circle the number of your choice.
1. Life or Associate Life membership Payment $ 350.00 AS
2. Life Membership Payment as wife/husband
of a Life Member
3. Subscription for the Year 20
Ordinary or Associate Ordinary per annum
$ 50.00 AS
$ 40.00 AS
4. Junior Membership subscription (under 18)
No Joining fee required
Birth Date DD/MM/YY / / $ 15.00 AS
Please indicate amount of remittance, Joining fee + Subscription = $ ________
PLEASE TYPE OR PRINT YOUR NAME IN CAPITALS
LAST NAME FIRST NAME MIDDLE NAME/INITIAL
ADDRESS
E-Mail Address
Telephone
Occupation
Date
Signature

List below (or on Separate Sheet) honors,
Decorations
Degrees
Appointments
Elective Public Offices, etc.
Send Funds Payable in Australian Dollars
TO THE CLAN MACPHERSON ASSOCIATION
Registrar
Mr David MacPherson
95 New Mount Pleasant Road
Mount Pleasant, NSW 2519
Phone 61 2 4284 3712
e-mail d.macpherson@unsw.edu.au