International Clan MacNicol Society, Inc.

 

MEMBERSHIP APPLICATION

Membership requirements: anyone of the surname MacNicol, Nicholson or Nicol (in any of their spelling variations) of certain or suspected Scottish origin.

Please print out this form, fill in the requested information and mail it in with a $35 cheque to Clan MacNicol Society Inc. 2120 Niagara Drive Ottawa, Ontario K1H 6H3

FULL NAME________________________________DATE_____________________

SPOUSE’S NAME______________________________________________________

STREET ADDRESS_____________________________________________________

CITY___________________________________PROVINCE____________________

POSTAL CODE_________TELEPHONE____________________________________

EMAIL ADDRESS______________________________________________________

For further information please contact your Canadian Co-Commissioners Michael Nicholson at micnich@magma.ca or Kevin Nicoll at jnicoll9443@rogers.com