WEST LOTHIAN FAMILY HISTORY SOCIETY

---

PUBLICATIONS LIST - ORDER FORM
Name:
__________________________________________________________________

Address:
__________________________________________________________________

__________________________________________________________________

Membership No:
_____________________

Date:
_____________________

Email:
__________________________________________________________________

Ref

Title

Qty

Unit Cost

Total

Weight (g)

---

---

---

---

---

---

Sub Total
Postage
TOTAL

Please make cheques in GB Pounds Sterling payable to:
West Lothian Family History Society
and send to:
Mrs J Fowlds
23 Templar Rise
Livingston
West Lothian
EH54 6PJ
SCOTLAND