CLAN COCHRANE in North America
Membership and Renewal Form

Name _______________________Spouse _____________
______________________________Zip code __________
Phone Number - _( ) __________________________
E-Mail Address __________________________________
Have you worked on your own genealogy? Yes ___ No ___ (If yes who was your ancestor?)___________________________________________ and could you help others? _____________________________________
(If no) Would you like some help? ________________________
What would you like to see more of in the newsletter?
Special Interests: Music: Fiddle __ Guitar __ Bagpipe__ Other ____
Dance: Scottish Country ___ Sword ___ Other ____
Scottish Cooking ____ Yes ____ No
Would You Sponsor a Clan Tent ___Yes __ No
Would You Recruit for your state ___Yes __ No
Would You be interested in holding a National Office ____
Would you be interested in writing an article for the newsletter? ___ Yes ___ No


I received this application from or found it: _________________________


Please check one! New Member____ Renewal____


Dues are:

Individual $25.00 /yr. - Family $50.00/yr. - Associate $50.00/yr - Life Membership $350.00- $15.00 if a new membership and signed up at a game

Make checks payable to: Clan Cochrane in North America
Or you can pay via PayPal at


Please Mail Membership Forms to:


Clan Cochrane in North America
Cindra Cochran
5136 W. Wren Ct.

Visalia, CA 93291


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