APPLICATION for MEMBERSHIP

Thank you for your interest in joining the St. Andrew’s Society of Baltimore!

ST. ANDREW’S SOCIETY OF BALTIMORE APPLICATION FOR ACTIVE REGULAR MEMBERSHIP

All information must be filled out completely. Please send a check to PO Box 4114, Timonium, MD 21094-4114 made payable to the St. Andrew’s Society of Baltimore for $95.00, covering the initiation fee of $45.00 and the first year’s dues of $50.00.

Fill out the form below to apply for membership!

Candidate Name (required)

Mailing Address (required)

City

State

Zipcode

Occupation

Spouse's/Partner's Name

Home Phone

Business Phone

Cell Phone

Your Email

Date and Place of Birth

Clan Affiliation

First Sponsor's Signature

First Sponsor's Print Name

Second Sponsor's Signature

Second Sponsor's Print Name

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