Become a Member of the Robert Burns Society of the Midlands

Membership is open to anyone of Scottish birth, descent, family, or interest to the study, preservation, and promotion of the culture, customs, and traditions of the people of Scotland, and the descendants of Scots, in the midlands. Membership is open to anyone of Scottish birth, descent, family, or interest.

New Membership

Please use this form to start a new membership.

Name (1)*
First Last
Birthday (1)*
MM
DD
YYYY
Phone (1)*
Email (1)*
Occupation (1)*
Name (2)
First Last
Birthday (2)
MM
DD
YYYY
Phone (2)
Email (2)
Occupation (2)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Children (if any, up to age 18, please list birthdates)
Clan Heritage (if known)
If you aren't sure - just put N/A.
What interests, expertise or talents could you share with the Society in support of our activities?
Briefly state why you desire membership in the Robert Burns Society of the Midlands and what your special interests may be:
Do you want to be listed in the RBSM Directory?*
- I DO want to be listed in the directory
- I DO NOT want to be listed in the directory
Membership Type*
Total
$0.00
Email
This field is for validation purposes and should be left unchanged.

Renewal Membership

Please use this form to renew your existing membership.

Name (1)*
First Last
Phone (1)*
Email (1)*
Name (2)
First Last
Email (2)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Children (if any, up to age 18, please list birthdates)
Do you want to be listed in the RBSM Directory?*
- I DO want to be listed in the directory
- I DO NOT want to be listed in the directory
Membership Type*
Total
$0.00