Clan Johnston/e of New Zealand

Print a copy and  post in.

MEMBERSHIP APPLICATION - PLEASE USE BLOCK LETTERS

SURNAME.................................................................................................MR/MRS/MS/MISS (circle one)

CHRISTIAN NAME(S)............................................................................

DOB (Optional)................................

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

..................................................................................................................................................................

P/CODE...................................OCCUPATION..........................................................................

Telephone BUS (.......)....................................HOME (........)....................................

OPTIONAL INFORMATION FOR CLAN ARCHIVES

A short account of my Johnston/e Family Connection is as follows:

.................................................................................................................................................... .................................................................................................................................................... .................................................................................................................................................... .................................................................................................................................................... ....................................................................................................................................................

First Arrival in New Zealand or other South Pacific Place:

Name/s of ancestor....................................................................................................................... Ship................................................Date......................................................................................

WHICH OF THE FOLLOWING ACTIVITIES WOULD YOU BE INTERESTED IN?

(more than one may be indicated)

Informal Social Gatherings ..[ ]

Clan Picnics........................[ ]

Scottish Week Activities......[ ]

Scottish Music and Dancing.[ ]

Genealogy and Clan History.[ ]

Any other interests or suggestions.................................................................................................

The membership fee of $17 NZ should be enclosed with this form.

Signature.......................................Date............................................................................

Please forward this completed form to :

The Commissioner

Clan Johnston/e Association

39 Downing Avenue, Napier,

Please copy or print this form for your membership application