ALSTONVILLE PLATEAU HISTORICAL SOCIETY INC.

 

DIRECT PAYMENT TO:

COMMONWEALTH BANK<>BSB:062 657 A/C: 10071544

 

Honorary Treasurer. Tel: 02 66281829

Alstonville Plateau Historical Society Incorporated

PO Box 65

ALSTONVILLE NSW 2477

 

APPLICATION FOR RESEARCH by APHS Inc.

PAYMENT: A cheque/cash for $25.00 for an original enquiry paid to APHS Inc.

Research will include 2 x A4 sheets of material as part of original costs . Any Extra Photocopying is 30c per sheet.

 

NAME:------------------------------------------

 

ADDRESS:-------------------------------------------

 

 

TELEPHONE:

EMAIL:

 

DETAILS OF REQUEST: (Please tick boxes to signify your acceptance of the conditions.)

 

Please provide as much information as possible, to enable the researcher to carry out an efficient search of all available resources.

 

 

 

 

 

 

 

 

If the research is of a family, please state your relationship

Any Family history sheets, copies of certificates, etc., would be appreciated.

 

I give permission for copies of any material found in the above research to be held by the Alstonville Plateau Historical Society Inc. to be used for future research.

PAYMENT: A cheque/cash for $25.00 for an original enquiry paid to APHS Inc.

Signature: ------------------------------------------- Date:-----------