Sponsors of the Jackson Hole Scottish Festival
(Please print this document and mail it in)

Name____________________________________________ Date ________________

Mailing Address ________________________________________________________

City________________________ State _____________ Zip Code ________________

Country______________________________

Phone______________________ E-mail ____________________________________

Occupation/Business *_______________________________Phone _______________

Business Address * ______________________________________________________

* (not required but may be helpful)

If family membership, please include: Name of your spouse ___________________________,

Name(s) of your children: _________________________, ________________________ _ , _________________________

Are you a member, or have you ever-submitted membership for any Scottish clan organization?

Y N (If yes, please list Clan(s) and membership number(s )s , if known):

____________________________________________________________________________

Wyoming Highlanders Dues Policy:

Dues are $30 per person or $50 per family and are due annually at the end of the calendar year. Dues include newsletter, notification of local and regional events, discounts for Wyoming Highlander events and updates on current events. Please send payment to:
Wyoming Highlanders, PO Box 2653 , Jackson , WY 83001

Paid $_____________ on ______________ _( date). Check # ______________

Membership Number _____________ (Membership Secretary Use Only)