Online Membership Application

Address1:
Address2:
City:
State/Province:
ZIP/Postal Code:
Country:
Telephone Number:
E-mail Address:

My Main Occupation (is) (was):

My Hobbies / Interests are:

MEMBERSHIP CATEGORY - Select One

CLSNA Annual Membership CLSNA Lifetime Membership Fee (one time fee for individual or family)

FAMILY INFORMATION

Spouse’s Full Name:    Nickname: 

I was born a Little or became a Little upon adoption or marriage

I have never been surnamed Little but I am descended from a Little
      (“Little” includes Lyttle, Lytle, or any other spelling of the name Little)

I have reason to believe my forebearers came from  Scotland Dumfrieshire Ulster Northern Ireland
       Where they lived in the District Parish Village Town Unknown of

They came from none of the above places; I believe know they came from

I do not know where my Little forebearers came from

My answers on the questions above are based on Written Family Records Family Tradition Other

I am a registered member of Family Tree DNA   Yes     No

Please List any Scottish Gatherings regularly attended and memberships in Scottish Organizations

I am interested in working with Clan Little Society as
(For example: Convener, Commissioner, Clan Officer)

We need your permission to share your information with members of Clan Little Society North America

  Yes, I No, I DO NOT give CLSNA permission to share my information with other members

This may include your address, phone number and email address

NO information will be given to anyone who is not a member of CLSNA.