
MEMBERSHIP
APPLICATION FORM |
| Title | ..............
| Surname | ..................................................................... |
|
| Forenames
| .................................................................................................. | | Second
Family Mbr | .................................................................................................. |
| Address | .................................................................................................. |
| | .................................................................................................. |
| | .................................................................................................. |
| Post
Code | ........................ |
|
| Telephone | ......................... | Email | ....................................................... |
|
| I/We
apply for membership of Peterborough & District Family History Society as
a (please tick the appropriate box below) |
| Single
Member | £8 |
| | Family
Member | £10 |
| | Overseas
Member | £8 |
| and
enclose the appropriate fee (as a sterling cheque). |
| | | | |
| Signed | ............................................ | Date
| ..................... |
| |
| |
| Signed | ............................................ | Date | ..................... |
Subscriptions
are due as at the 1st April. Subscriptions paid after 1st January are
valid until 31st March of the following year. completed form should be
sent to the Membership Secretary, 5 Inhams Road, Whittlesey, Peterborough,
PE7 1SS. Please fill in the Gift
Aid Form and attach to this form. |