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 47 Crofter's Way, Manor Gate, East Whitburn EH47 8ES, West Lothian.
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 2012 to 31st August 2013.
To pay by PayPal, email FOR INSTRUCTIONS on how to pay to: r.gordon1@sky.com. Total amount including charges are £10.60 for UK members and £13.00 for Overseas members.
Name:
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Address:
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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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