FIFE FAMILY HISTORY SOCIETY
MEMBERSHIP FORM
*(See Data Protection
Act Statement below)
MEMBERSHIP NUMBER __________(Leave Blank)
Please complete in BLOCK CAPITALS below. DATE
__________________
SURNAME
_________________________________________________________
CHRISTIAN NAMES
_________________________________________________
ADDRESS
___________________________________________________________
__________________________________________________
TOWN/CITY
_____________________STATE/COUNTY___________________
ZIP/POST
CODE_________________COUNTRY__________________
E-Mail Address:- _________________________________
MEMBERSHIP TYPE -- ORDINARY/FAMILY/INSTITUTIONAL
----UK/OVERSEAS
**PUBLICATIONS CLUB Yes/No
(Delete above as appropriate)
Please Debit my Visa /Access/Mastercard (delete as
appropriate)Card No. OR Cheque Number ____________________
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Expiry Date:
Name Shown on Card _______________________________
AMOUNT £ ______________
Signature __________________________ DATE
_________________
Sterling Cheques should be made payable to FIFE
FAMILY HISTORY SOCIETY
*Data Protection
Act
For Society administration
purposes, Members names and addresses are stored electronically.
These will not be passed to any third party without your
consent.
Please circle your answer to
the following statement: I give my consent to my name and address
being published in the Society Journal YES / NO
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Please retain the information below
SUBSCRIPTION RATES are:-
Membership is from 1st October to 30th September of
following year and includes 3 Journals
SINGLE ORDINARY ADULT MEMBER (UK) ----£10
OVERSEAS----£12
FAMILY MEMBERSHIP (2 PEOPLE,Same address) (UK)
----£12 OVERSEAS----£14
INSTITUTIONAL MEMBER (UK) ---------£12
OVERSEAS----£14
**PUBLICATIONS CLUB -----------------£6-00
SUBSCRIPTIONS ARE DUE ON THE 1st OCTOBER EACH YEAR
Please send in MEMBERS INTERESTS FORM(see
M.Interests' Page ) with this
MEMBERSHIP FORM and please send both forms with your subscription to
the Membership Secretary:-
Mrs. SARAH Y. MARTIN, Membership Secretary,
482 Methilhaven Road,
Buckhaven,Leven,
Fife
Scotland
KY8 1EB
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** PUBLICATIONS CLUB: For an annual fee of £6-00 members of
the Publications club will be sent an additional booklet along with
their Journal. The PC booklets our members have received in the past
have covered Baptismal indexes, Wills indexes etc., our current
publications club booklets are Monumental Inscriptions for various
graveyards in Fife.