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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.