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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
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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.