Polperro Family History Society

Membership Application Form

Please print out and complete the form below and return to: Jeremy Johns, Secretary, Polperro Family History Society, The Crown House, Clifton-upon-Teme, Worcestershire, WR6 6EN, UK.


Mr/Mrs/Miss/Ms………………………………………………………………………


FULL NAME:……………………………………………………………...................


ADDRESS:………………………………………………………………...................


…………………………………………………………………………….................


POSTCODE:………………........…TELEPHONE:……………………………........


E-MAIL ADDRESS:…………………………………………................……………


INTEREST:……………………………………………………………….................

Your research interest will be listed in the Members' Directory. Do you wish your e-mail address to be included as well? YES / NO

Subscriptions cover the calendar year from January to December for the year in which you are joining.

Class of Membership - please circle

MEMBERSHIP
UK
Overseas
Individual:
£10
£12

Family:
[2 adults at same address]

£15
£17

Please make cheques payable to Polperro Family Historians

 

For further details e-mail: jeremy.johns@polperro.org

 

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