Online Membership Application

Title	Forenames	Surname
Please state family relationship if not a Home or Hume or whether applying to join through affinity or affection:
Spouse / Children's Names: (If applying for family membership)

Permanent Address:
Postcode:		Country:
Home Telephone No:		Mobile:
Email Address (required):		Date of Birth:

Membership Types

Individual

Family

Student Member (or under 30 years of age)

I / We hereby agree to abide by the constitution of the CHA (click here to download constitution)

Please tick box if you do not wish to have your name, town and country of residence published within a 'New Members' section of The Clan Home Association Website

Please ensure you have filled in your personal details (email address is mandatory) chosen your membership type and confirmed that you have read and agree to abide by the constitution of the CHA.

To complete your application please click on PROCEED TO CHECKOUT to be taken to a secure payment site (PayPal). Your membership confirmation will be sent to your email address along with your membership number.

If you have any problems or queries please contact us at membership@clan-home.org

Privacy Statement - Clan Home Association is registered with the Data Protection Agency and complies fully with the requirements of the Data Protection Act. Information provided on this form will be retained within a secure database for Association purposes only and will not be passed to a third party without the express permission of the individual to which it relates.

Please Note: Clan Home Association reserves the right to refuse membership and/or carry out appropriate enquiries pursuant of this application.

Member Login

Online Membership Application

Membership Types