WEST LOTHIAN FAMILY HISTORY SOCIETY
APPLICATION FOR MEMBERSHIP
Please print this form, fill in the details and send with a cheque (made payable to West Lothian Family History Society) for 10.00 Pounds Sterling (UK), 15.00 Pounds Sterling (UK Joint) or 12.00 Pounds Sterling (Overseas) to Membership Secretary at 141 Harburn Avenue, Livingston, EH54 8NL.
I wish to join the West Lothian Family History Society and enclose a cheque for 10.00 Pounds Sterling (UK), 15 Pounds Sterling (UK Joint) or 12.00 Pounds Sterling (Overseas) for year 1st September 2011 to 31st August 2012.
To pay by PayPal, email r.gordon1@sky.com for instructions. Total amount including charges are £10.60 for UK members and £13.10 for Overseas members.
Name:
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Address:
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County/State...................................................................
Post/Zip Code.................................................................
Country..........................................................................
e-mail Address.................................................................
Details on this form will be for use by the West Lothian Family History Society only and will not be disclosed to any other parties.
If you pay income tax in the UK, the Society can reclaim tax on your membership subscription from HMRC. New UK members will be asked to sign a Gift Aid declaration form. This can be cancelled at any time by contacting the membership secretary.
Research interests:
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