CLAN GALBRAITH ASSOCIATION APPLICATION FOR MEMBERSHIP Name: ________________________________________________________________________ Address: _____________________________________________________________________ City: ______________________ State/Province: _______________________________ Zip/Postal Code: _____________________ Country: ____________________ E-Mail: _____________________________ Phone: (________) __________________ Occupation: _________________________ Name of Spouse: _____________________ Applicant’s Signature: __________________________________ Date: ___________ (If applying for reinstatement please provide your membership number__________) I learned of the CGA through (please check all that apply): Scottish Game or Festival (location) ___________________________Family member ; Friend ________; Periodical (identify) _______________; Internet Website (name) Other _____________ ELIGIBILITY FOR MEMBERSHIP: Membership in the Clan Galbraith Assn. is open to any person related by blood or marriage to the Galbraith Clan. This shall include the surnames Calbreath, Colbreath, Culbreath, Galbreath, Galbreth, Gilbreath, Gilreath, Kilbreth, Kulbeth or any of the recognizable variant spellings, including the possible variations of the Gaelic, MacBhreatannich. MEMBERSHIP FEES: One year Two years Three years U.S. and Canadian Members: $20.00 $35.00 $45.00 Overseas Members who elect to $20.00 $35.00 $45.00 Download their Red Tower from Our website Members Only area Overseas Members who Require a $25.00 $45.00 $55.00 Hardcopy Red Tower by Mail Please circle the amount of your payment: Check one of the choices below for Red Tower delivery mode: I will download from the website______ I require a mailed hardcopy _____ Note: All rates are in U.S. dollars; Non-US members may pay dues with a check in US funds or in their own currency at the existing exchange rate for their country. All applications and fees should be mailed to: Al Galbraith, Clan Secretary 3180 San Mateo St. Clearwater, FL 33759-3529 E-mail: al.galbraith@gmail.com GALBRAITH FAMILY HISTORY CHART Please complete the following chart as part of your application for membership in the Clan Galbraith Association. Trace your Galbraith (or variant name) family history by providing the information requested. This will then be added to the Clan’s genealogy file for reference or research purposes. If you have a family genealogy already prepared, feel free to include that in place of this chart or add additional pages if needed for earlier generations. Generation 1 You Your Spouse Full Name Birth Date Birth Place Marriage Date Marriage Place -------------------------------------------------------------------------------- Generation 2 Your Father Your Mother Full Name Birth Date Birth Place Death Date Place of Death Marriage Date Marriage Place ------------------------------------------------------------------------------- Generation 3 Galbraith Grandfather Grandmother Full Name Birth Date Birth Place Death Date Place of Death Marriage Date Marriage Place ------------------------------------------------------------------------------- Generation 4 Galbraith Great-Grandfather Great-Grandmother Full Name Birth Date Birth Place Death Date Place of Death Marriage Date Marriage Place -------------------------------------------------------------------------------- Generation 5 Galbraith G-G-Grandfather G-G-Grandmother Full Name Birth Date Birth Place Death Date Place of Death Marriage Date Marriage Place -------------------------------------------------------------------------------- Generation 6 Galbraith G-G-G Grandfather G-G-G Grandmother Full Name Birth Date Birth Place Marriage Date Marriage Place -------------------------------------------------------------------------------- Generation 7 Galbraith G-G-G-G Grandfather G-G-G-G Grandmother Full Name Birth Date Birth Place Death Date Place of Death Marriage Date Marriage Place -------------------------------------------------------------------------------- Generation 8 Galbraith G-G-G-G-G Grandfather G-G-G-G-G Grandmother Full Name Birth Date Birth Place Death Date Place of Death Marriage Date Marriage Place ------------------------------------------------------------------------------- Generation 9 Galbraith GEN 9 Grandfather GEN 9 Grandmother Full Name Birth Date Birth Place Death Date Place of Death Marriage Date Marriage Place -------------------------------------------------------------------------------- Generation 10 Galbraith GEN 10 Grandfather GEN 10 Grandmother Full Name Birth Date Birth Place Death Date Place of Death Marriage Date Marriage Place