House of Burnett
Application for Membership
Members must be of the name BURNETT, BURNET, BURNETTE, BARNET, BARNETT, BARNETTE, BERNIT,
BERNAT, BURNAP, MACBURNET, or other spelling variation; married to a BURNETT;
or descended from a BURNETT in either the male or female line.
Normal membership dues are US$20 per year which you can either pay yearly or by automatic subscription.
We offer you two ways of paying, you can either pay on-line now using PayPal (which accepts all major credit/debit cards) or, if
you prefer, you can send payment by post. Please choose one, but not both, methods:
The Official Website
If you prefer not to use our on-line membership payment facility, please complete the form below and print this. Please
enclose a check for US$20.00 made payable to “House of Burnett” and send with your completed application to:
The House of Burnett
c/o Leland L. Burnett
5982 W. Carlsville Rd.
Sturgeon Bay, WI 54235
Payment with Paypal
Payment by post
Introductory
membership $10 for first
year
This will be debited from
you Paypal/credit/debit card
now for year commencing
January 2013.
Annual automatic debit
membership
US$20 will be debited from
you Paypal/credit/debit card
now and every year on this
date until you ask Paypal to
cancel your subscription.
Single year ordinary
membership $20/year
This will be debited from
you Paypal/credit/debit card
now for year commencing
January 2013.
