Membership Application:

Clan MacKenzie Society of Nova Scotia

Please print out the following form and complete.
Contact Clan MacKenzie Society of Nova Scotia (via e-mail)
for postal mailing information.

NAME .................................................................

ADDRESS ..............................................................

.............................................. POSTAL CODE ...........

RELATIONSHIP TO CLAN MACKENZIE .......................................

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ANNUAL MEMBERSHIP FEE: $10.00

Please print out the above form and complete.
For postal mailing information, contact:
Clan MacKenzie Society of Nova Scotia (via e-mail).