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Clan Anderson Society, Ltd. - Membership Form
New and Renewing Membership Form - Payment through PayPal including Credit Cards
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Email
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Your email
New or Renewing Member?
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New
Renewing
Title (optional title if desired)
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First Name
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Middle
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Last Name
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Street Address
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City
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State (2 letter postal format)
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Zip Code
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Phone Number
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Preferred Newsletter Delivery Method
Email, annual dues are $30. Our previous option of US Mail has been phased out.
Email
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Member's Birthday
Cell phone - tap YEAR to set first!
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YYYY
Marital Status
Married
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Spouse/Partner's Name
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Spouse/Partner's Email Address
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Spouse/Partner's Birthday
Cell phone - Tap YEAR to set first!
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YYYY
Anniversary
Cell phone - Tap YEAR to set first!
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DD
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YYYY
Do you want special dates or accomplishments in Newsletter?
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No
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Where did you hear about Clan Anderson Society, Ltd.?
Games
Website
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Any additional information about you or your family you'd like to share?
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Membership Type
Pay by Credit Card, Venmo or PayPal.
Annual Family Membership $30
Lifetime Membership $400
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