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) or 12.00 Pounds Sterling (Overseas) to:
The Membership Secretary, West Lothian Family History Society, 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) / 12.00 Pounds Sterling (Overseas) for year 1st September 2010 to 31st August 2011.
To pay by PayPal, email jan@fowlds.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.
Research interests:
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