House of Burnett Membership Application

House of Burnett Membership Application

 (You may print this application and complete and send it)

REQUIREMENTS: Must be of the name (BURNETT, BURNET, BURNETTE, BARNET,BARNETT, BARNETTE,BARNARD,BURNAP, BURNARD, BERNAT, BERNET, MAC BURNETT or other spelling variation), be descended from a BURNETT in either the male or the female line, or be married to a BURNETT. Memberships are also invited from anyone who is interested in the family.

NAME_______________________________________________________
ADDRESS____________________________________________________
CITY______________STATE/PROV________ZIP/POSTAL CODE________
COUNTRY___________TELEPHONE______________EMAIL____________
CONNECTION TO THE BURNETT FAMILY IF NOT KNOWN BY SURNAME ____________________________________________________________
____________________________________________________________
____________________________________________________________
Today's date_______________________________
(You may attach a pedigree chart to this application if you wish)

Memberships are $15 (US funds) per year. Please enclose a check in that amount made payable to : "House of Burnett" and send to:

Mary Dunklee
1470 N. Harrison Avenue
Fresno, CA 93728-1547 USA

 

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