Please Print out and mail this application
and check or money order
in U.S. or equivalent funds to ...

McCord, Howard E. FSA Scot
Clan MacCord Secy/Treas
P. O. Box 576 Meadow Vista CA 95722
(530) 878 8392
clanmaccord@gmail.com

Name:________________________________________________________________________

Address:______________________________________________________________________

Home Phone: ( )___________________________

Birthdate:____________________________________

Place of Birth:__________________________________________________________________

Occupation:____________________________________________________________________

Name of Spouse: ________________________________________________________________

Birthdate:___________________________________

Place of Birth:__________________________________________________________________

Children:
[List children, and only if you want their names on the Membership. If they are under 18 they will automatically be members if one or both Parents are paid members.]

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Email:_____________________________________________________________

Webpage:________________________________________________________________________

Father’s Name:____________________________________________________________________

Mother’s Name:___________________________________________________________________

Are you willing to assist the Society? Y / N How?

_______________________________________________________________________________

_______________________________________________________________________________

Briefly state relationship or connection to the MacCord Clan:
(Please include as much Genealogical information as you can, see Pedigree Chart added)

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Areas of interest, including hobbies, special talents or knowledge, etc.:

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Are you or any family members associated with any other Clan Societies or Scottish organizations?

[Include those of interest? Some Masons, Military, DAR, SAR and other Societies have a connection to the Scotch-Irish culture. [You can belong to any and as many organizations you want; it is not a determinant of your membership acceptance.] Please indicate which ones below.

__________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

How did you learn about the MacCord Clan Society?

Please circle one: Member Relative Friend Web E-mail Mail

Other:______________________________________________________________________________

___________________________________________________________________________________

Personal and/or Genealogy Information given is for our records and staff use only. Your information will not be placed on the web site, given out or sold.

Thank you!

Please take the time to give us some genealogy background if you are a MacCord/MacCourt or one of the many variations of spelling and /or descendant. Please be as detailed as you can. Photocopies of photos and of source document welcome. This will be entered into the genealogy database to help us find/establish your line. You may skip this part if you would like to send your genealogy via email or post please send a copy of your data not an original.

Your father's name:____________________________________________________________________

Date of birth:____________________________________________________________________

Birthplace:____________________________________________________________________

Date of death:_____________________ Deathplace/Burial place:________________________

Your mother's name:____________________________________________________________________

Date of birth:_____________________ Birthplace:____________________________________

Date of death:_____________________ Deathplace/Burial place: _______________________

Date of Marriage:_____________________ Place of Marriage: __________________________

Children and date of birth, other than yourself:

Your paternal grandfather's name:

Date of birth:_____________________ Birthplace:____________________________________

Date of death:_____________________ Deathplace/Burial place:________________________

Your paternal grandmother's name

Date of birth:_____________________ Birthplace: ___________________________________

Date of death:_____________________ Deathplace/Burial place: _______________________

Date of Marriage:_____________________ Place of Marriage:___________________________

Children and date of birth:

Your maternal grandfather's name:

Date of birth:_____________________ Birthplace:____________________________________

Date of death:_____________________ Deathplace/Burial place: _______________________

Your maternal grandmother's name:

Date of birth:_____________________ Birthplace: ___________________________________

Date of death:_____________________ Deathplace/Burial place: _______________________

Date of Marriage:_____________________ Place of Marriage:___________________________

Children and date of birth:

Your paternal great grandfather's name:

Date of birth:_____________________ Birthplace:____________________________________

Date of death:_____________________ Deathplace/Burial place: _______________________

Date of Marriage:_____________________ Place of Marriage: __________________________

Children and date of birth:

Your paternal great grandmother's name:

Date of birth: _____________________ Birthplace: ___________________________________

Date of death:_____________________ Deathplace/Burial place: _______________________

Date of Marriage: _____________________ Place of Marriage: _________________________

Children and date of birth:

Your maternal great grandfather's name:

Date of birth: _____________________ Birthplace:___________________________________

Date of death: _____________________ Deathplace/Burial place:_______________________

Date of Marriage: _____________________ Place of Marriage: _________________________

Children and date of birth:

Your maternal great grandmother's name:

Date of birth: _____________________ Birthplace: ___________________________________

Date of death: _____________________ Deathplace/Burial place: _______________________

Date of Marriage: _____________________ Place of Marriage: __________________________

Children and date of birth:

If you have further genealogy information or a database, please submit it to our Keeper of the Database, via email at hmccord@clanmaccord.com or via snail mail, sending it on CD, 3,5 floppy disk, or family group sheets. For your convenience, can send you a family group sheet that you may print and fill out to submit. You may send genealogy data by post to:

Keeper of the Database

C/O

McCord, Don
475 N. Main St.
Eagleville TN 37060
(615) 274 2859,
Mcc474@cs.com or Fax: 615 274 3364 Research/Records

Please send this application and check or money order in U.S. or equivalent Funds to:

McCord, Howard E. FSA Scot
Clan MacCord Secy/Treas
P. O. Box 576 Meadow Vista CA 95722
(530) 878 8392
clanmaccord@gmail.com