Clan MacAlpine Society
Membership Application Form
Qualifications: Membership in the Society 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. In keeping with Scottish traditions, all others who wish to honor our Clan and support the Society's efforts through their association with us are welcomed to join as a “Friend of the Clan.”
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! I want to join the Clan MacAlpine Society. I have read the above and qualify as marked below. I will honor Clan MacAlpine and support the Society's Clan re-establishment efforts. I understand the Society’s goals are: To promote the general interest of the Clan and cultivate a spirit of fellowship and kinship among all persons associated with the name MacAlpine; to collect and preserve literary, historical, and genealogical records, documents, and artifacts pertaining to the history of the Clan and its members for the education and benefit of Clan members and their descendants; to honor our Scottish heritage and instill in our members and their descendants the pride and strengths of our Scottish ancestors.
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 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.
____Rule D: I am a friend who wishes to honor the Clan and support the efforts of the Society.
Last__________________ First_______________ Middle______________ Nickname______________
Street_______________________________City______________________State/Prov.__________________
Country____________ Zip___________ Phone No.______________ E-mail____________________
Fax No.____________________ Birth Date___/___/_____ Occupation______________________
Surname that marks your affiliation with Clan MacAlpine_____________________ Prior member? Y N
Print your name EXACTLY as you would like it to appear on your Membership Certificate:
_________________________________________________________________
Other family members in household included at no extra charge (use extra sheet for additional children)
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____________________________
Non-refundable annual Membership dues are $25.00 US. Annual dues are reduced to $10.00 for members aged 70 or older. (Foreign currency (cash) is accepted; checks, money orders, etc. in foreign currency are acceptable but must include an additional $5.00 US for processing fees.)
_____Payment enclosed to Clan MacAlpine Society
_____I am 70 or more! I will mail my reduced payment to the above address.
Print, complete, and mail your Clan MacAlpine Society Membership Application to:
Clan MacAlpine Society
Membership Administrator
32682 Rosemont Drive
Trabuco Highlands, CA USA 92679-3386
Or, fax your application to (949) 888-8219.
Visit the Clan MacAlpine Society website at:
www.macalpineclan.com
Copyright 2008-2009 Clan MacAlpine Society
All Rights Reserved