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S.C.O.T. Membership Form
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Are you purchasing a new membership or a renewal?
New
Renewal
Please choose a membership type.
Are you purchasing for someone else?
Yes
No
Please indicate if you are purchasing for someone else.
Your Name
Please enter your first name.
Please enter your last name.
Purchaser's Email (Yours)
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Would you like for your information to be included in the membership directory?
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No
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Would you like to receive text message updates?
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No
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Would you like to receive S.C.O.T. newsletters and emails?
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No
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Member 1
Please enter the first name.
Please enter the last name.
Address
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Address 2
City
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State
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Zip
Please enter a zip code.
Country
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Phone
Please enter a valid phone number.
Clan Affiliation
Clan 1
Clan 2
Please select at least one clan affiliation.
Birthday
Please enter a birthday.
Anniversary
Please enter an anniversary date.
Choose Your Preferred Membership
Individual (one single person) - $35.00
Couple (two people) - $50.00
Family (includes minor children) - $50.00
Please choose a preferred membership.
Would you like to make an extra contribution to the Scottish Club of Tulsa?
$2.00 Credit Card Service Charge
Total to be charged
Credit Card Number
Please enter a valid credit card number.
Card Holder's Name
Please enter the card holder's name.
Expiration Date
Please enter a valid expiration date.
Zip Code
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