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EAST
SURREY FAMILY HISTORY SOCIETY
(Registered. Charity No. 286659)
APPLICATION
FOR 2008 MEMBERSHIP
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Please
complete and return this form with your subscription.
EXCEPT for payments to overseas agents in Australia/NZ/Canada/USA
(see website for instructions) cheques should be made payable
to: East Surrey Family History Society. Remittances from
overseas must be by International Money Order or Bankers Draft
in pounds sterling drawn on London.
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| To: |
The Membership Secretary, Ann
Turnor,
12 Church Lane Avenue, Hooley, Surrey, CR5 3RT |
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I
/ We wish to join the East Surrey Family History Society
and agree to be bound by its rules and not act in any way liable
to bring the Society into disrepute.
I / We enclose payment for membership for the year ending 31st
December 2008 |
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ANNUAL
SUBSCRIPTION:
£8.00 per person
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Tick
here if you would like to make future payments by Bankers
Standing Order [_]
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NAME
AND ADDRESS - please print clearly.
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| If
you are applying for Membership to include more than one person
at the same address, but receiving one copy of the Journal, please
give the names of additional applicants on the reverse. |
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Title
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Surname |
Forename
(s) |
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Address:..................................................................................................................................................
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| Post Code .......................................................... |
Telephone
No. ........................................ |
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Email
Address (Optional):...................................................................................................................
(The above information will be kept on computer for the use
of the ESFHS only.)
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Signature:
.................................................................................................
Date: .................................
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UK
GIFT AID DECLARATION (Optional)
I
would like East Surrey Family History Society to
reclaim tax on my annual subscription and on any donations
that I make to the Society from this date. I confirm
that I have paid an amount of UK income tax or capital
gains tax equal to the tax that will be reclaimed.
Signature: ..........................................................................
Date: .................................
Name (please print clearly): .............................................................................................
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