I apply for membership in The Saint Andrew Society of The Central Coast at a cost of $35 per

calendar year per family.

If you wish to make an additional contribution it will be gratefully accepted and applied towards our

administrative expenses. Please make checks Payable to The Saint Andrew Society of The Central Coast.

Full Name: Surname____________________First___________________Middle______________________

Address: Number ___________Street__________________Additional______________________________

City_________________________________State______________________Post or ZIP Code____________

Country _____________________Telephone: [      ]__________________FAX: [     ]____________________

Occupation: ___________________________________Spouse’s Name______________________________

Place of Birth____________________ Birthday ______________ email: _____________________________

Please tell us a little about yourself:

Scots, Irish, Celtic ancestry/Background Ä Parents, Grandparents birthplaces Ä Surnames, etc., if applicable

Are there aspects of Scots, Irish, or Celtic history, arts, social organization, sports, events, travel, or other,

 unmentioned, which hold particular interest for you?

What would like to realize from your membership?

Applicant’s Signature: ____________________________

Sponsoring Member: _____________________________

Mail to: