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.
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
Please make cheques payable to Polperro Family Historians
For further details e-mail: firstname.lastname@example.org