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[Please PRINT this form and mail it with your Membership Fee]
(Kindly complete the following information for our records)
plus Area Code:
|Date of Birth:|
Please indicate by cross or tick:
[ ] I am of Scottish ancestry and a lineal descendant of Clan Leslie, or a Sept of Clan Leslie in Scotland.
My Leslie or Sept ancestor is/was:________________________________________________________
[ ] I am not a lineal descendant of Clan Leslie or its Septs. (Associate Membership)
Membership Fees are: AU$25.00 per annum.
I hereby apply for membership in the Clan Leslie Society, under the provisions established by the Chief of the Clan.
I certify that the above information is true to my best knowledge and belief.
I declare that if accepted for membership, I will observe the rules and regulations of the Society
and will promote its welfare to the best of my ability.
Please send this Application Form and Membership Fee of AU$25.00 (cheque/money order) to:
Clan Leslie Society of Australia & New Zealand (CLANZ)
43 Rosedale Road,
Gordon, NSW, 2072, Australia.
WELCOME TO CLANZ!!