SIOL NAN GAIDHEAL Membership Form

 


 


NAME:

 

ADDRESS:

 

 

 

 

 

TEL. No:

 

E-MAIL:

 

OTHER:

 

FULL ACTIVE MEMBERSHIP

 

State briefly your reasons for wishing to join Siol nan Gaidheal:

 

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Where did you first hear of SnG: Magazine, Internet, other Member, Other?

Occupation:

How long there?

Have you ever served in the Armed Forces?

Are you prepared to attend an interview?

Do you own a car?

Do you own a computer?

How long have you stayed at your present address?

Do you work shifts or at weekends?

Are you a member of any political party? if yes_ which one?

 

Marital Status_______________              No. of Children_________________

 

Do you know an existing member of SnG?           Yes/No

 

Are you related to an existing member of SnG?    Yes/No

 

If you answered Yes to any of the above, what is the name of the member?

 

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Have you been a member of any other Scottish group or organization with links to Nationalism, Unionism, Racism, or Extremism?  Yes...   No...     Which?...

 

Date of Birth.....................Place of Birth.........................Nationality.............................

 

Scars, Tattoo’s or other distinguishing marks?

 

Hobbies/Interests

 

 

 

 

EDUCATION:

 

Schools attended                                  

 

Colleges attended                                 

 

University                                             

 

Attainments


 

* Please print a copy of this form, fill it out, sign, and mail to:

Siol-nan-Gaidheal
798 Bryan Davis Rd.
Creston, NC 28615

U.S.A.

** Please enclose your Life Membership fee of $50 with your application.
Make your check or money order payable to: Siol nan Gaidheal USA. ( Do not send cash) ***