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
P.O. Box 243
Alfred Station, NY 14803
U.S.A.

** Please include your Life Membership Fee of 25.00 Pounds (American equivalent can be obtained at your bank).Remit by Cashier's Check or Foreign Money order. Make Checks payable to  Siol Nan Gaidheal. ( not Siol nan Gaidheal USA....for the dues will go straight to Scotland)