Office use-Roll No._______________

Clan  MacAlpine Society

Clan Roll Call Mail-in Registration Form

The Clan Roll Call is a listing of persons declaring themselves to be members of Clan MacAlpine who support the Society's Clan re-establishment efforts. This service is provided by the Society at no cost to Clan members. Only qualifying persons may be added to The Clan Roll Call. The Executive Committee of the Society is the final authority on all matters regarding The Clan Roll Call.

Qualifications: Registration in The Clan Roll Call is reserved for any person of Scottish ancestry who bears the surname of MacAlpine, however spelled, and for the wife and descendants of such a person. Any person related by marriage or adoption to one of the above persons is also eligible.

Some Variant Spellings: Albain, Albanach, Albin, Ailpein, Allphin, Alpin, Alpine, Alpyn, Alpynsone, Calpin, Calpine, Culpen, Elphin, Galpin, Galpine, Gilpin, Halpin, Halpine, MacAilpein, MacAlipine, MacAlpan, MacAlpane, MacAlpeine, MacAlpeinne, MacAlpen, MacAlphine, MacAlpin, MacAlpie, MacAlpin, MacAlpy, MacAlpye, MacAlpyn, MacAlpyne, MacApline, MacCalpin, MacCalpine, MacCapie, MacCappie, MacCappin, MacCappine, MacCappy, MacCapy, MacCarpin, MacColpin, MacColpine, MacCoplan, MacCoplin, MacCoppin, MacCoppine, MacCorpin, MacCorpine, Mackalpe, MacKalpin, Makalpe, Makcalpy, Makcalpyn, Malcalpyn, M’Alpen, M’Alpin, M’Alpine, M’Alpyn, McAlpain, McAlpan, McAlpane, McAlpe, McAlpen, McAlphin, McAlphine, McAlpie, McAlpien, McAlpil, McAlpin, McAlpine, McAlpion, McAlpon, McAlpy, McAlpyn, M’Calpin, M’Calppin, M’Calpy, M’Calpyne, M’Cappe, M’Cavpy, McCalpie, McCalpin, McCalpy, McCapen, McCawpyn, McCulpen, McKelpin, M’Kalpie, MkKalpy

Yes! Add my name to The Clan Roll Call. I want to show my support for my Clan and the re-establishment efforts of the Society. I have read the above and I qualify as indicated below. I understand that I am under no financial obligation as a result of adding my name to The Clan Roll Call and I can remove my name at any time.

Confidential personal information that you submit is used only for Society purposes and will not be released to outside parties without your prior approval.

Qualifying Rule
_____Rule A: I am of Scottish ancestry and bear the surname MacAlpine or a variant spelling thereof.
_____Rule B: I am the wife or a descendant of a person qualifying under Rule A.
_____Rule C: I am the spouse or an adopted child of a person qualifying under Rule A or Rule B.

Last________________ First________________ Middle______________ Nickname_____________

Street________________________________City______________________State/Prov.__________________

Country___________ Zip___________ Phone No.______________ E-mail_______________________

Fax No.____________________ Birth____/____/_____ Occupation________________________

Surname that marks your affiliation with Clan MacAlpine________________________________

Other household members to be added to The Clan Roll Call (Attach extra sheet for additional names.)

Spouse (maiden)_____________________ First__________________ Middle_________________

Nickname_________________ Birth Date____/____/_____

Child #1 Last_____________________ First___________________ Middle________________

Nickname_________________ Birth Date____/____/_____

Child #2 Last_____________________ First___________________ Middle________________

Nickname__________________ Birth Date____/____/_____

Child #3 Last___________________ First________________ Middle______________

Nickname_________________ Birth Date____/____/____

Child #4 last___________________ First________________ Middle______________

Nickname_________________ Birth Date____/____/____

Signature____________________________________________ Date____________________________

E-mail your Clan Roll Call Registration Form: Copy the form to your word processing software, complete it, and attach it to E-mail to us. Click on the Contact Us button for our E-mail address.

Or, print and mail your completed Clan Roll Call Registration Form to:

Clan MacAlpine Society
The Clan Roll Call Administrator
32682 Rosemont Drive
Trabuco Highlands, CA USA 92679-3386

Or, print and fax your completed Clan Roll Call Registration Form to: (949) 888-8219



Visit the Clan MacAlpine Society website at:

macalpineclan.com



Copyright 2002-2003 Clan MacAlpine Society
All Rights Reserved