Secretary
and Treasurer
Miss E J Lines
45 Windsor Road
LONDON
W5 3UP
England

The
EAST
FAMILY
HISTORY
SOCIETY

Membership Application/Renewal Form

From:- Title (Mr, Mrs, Rev, or other) ..............................................................................................................
Surname .............................................................................................................................................................
Forename(s) .....................................................................................................................................................
Nominated Partner(optional)..............................................................................................................................
Address (block capitals please) .......................................................................................................................
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Post/Zip Code................................................................Country.....................................................................
Telephone Number ...........................................................................................................................................
E -mail address ...................................................................................................................................................
Where did you first hear of our Society? .......................................................

My EAST interests are (name, place, dates) ...............Continue overleaf  if  necessary .................................
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Related interests  (name, place, dates) ..............Continue overleaf  if necessary............................................
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I enclose my/our annual/three year subscription to the Society starting 01st May 2008.

This covers two issues of ‘Points East’ per year and the option of Family Membership e.g. Husband and wife, both having a vote at the A.G.M. but only one copy of each Newsletter per household.

Delete as necessary

Data Protection Act. I agree that my/our membership and other relevant details may be held on computer files, not to be released for use outside of the Society.

Signed .........................................................................Date .........................................
Please sign and send the completed form with your subscription to the Membership Secretary at the above address. Sterling notes and Cheque drawn on a UK bank, made payable to the EAST FAMILY HISTORY SOCIETY should be enclosed.
Subscription: Annual £8 or THREE year membership  £20.
Overseas members may pay by Sterling cheque or in local currency notes as follows: Australia A$20.00(or A$53.00-three years); USA US$17.00(or US$43.00-three years); Canada C$20.00(or C$48.00-three years); New Zealand NZ$24.00(or NZ$60.00-three years);
European Union 13euros(or 32euros-three years).
              

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