FIFE FAMILY HISTORY SOCIETY

MEMBERS' INTERESTS FORM

Please see Instruction Page prior to completing form

Please use BLOCK CAPITALS

FULL NAME __________________________________________________________________

ADDRESS _____________________________________________________________________

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E-Mail Address:-----------------------------------------------TELEPHONE -- Home _______________________

MEMBERSHIP NUMBER _____________________________(Leave blank if not known)

SIGNATURE__________________________________ DATE____________

Data Protection Act

For Society administration purposes, Members names and addresses are stored electronically. These will not be passed to any third person without your consent.

I understand that these details will be published in the Society Journal, for purposes of making a genealogy connection only.

SURNAME

YEARS

PLACE

COUNTY

COUNTRY

e.g. BRODIE
1750-1800
CUPAR
FIF
SCT

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(Maximum number is 10 names per Journal please)

HELP WANTED

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Return to :

Mrs. SARAH Y MARTIN 482 Methilhaven Road, Buckhaven, Leven, Fife. KY8 1EB

 

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