FIFE FAMILY HISTORY SOCIETY

MEMBERSHIP FORM

MEMBERSHIP NUMBER ___________________________________(Leave Blank)

Please complete in BLOCK CAPITALS

DATE __________________

TITLE __________________

SURNAME _________________________________________________________

CHRISTIAN NAMES _________________________________________________

ADDRESS _________________________________________________________

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TOWN/CITY ________________________STATE/COUNTY__________________

ZIP/POST CODE_____________________COUNTRY_______________________

E-Mail Address:- _____________________________________________________(Please enter this in exactly the format it should be typed - e.g. all uppercase, all lowercase, or a mixture)

MEMBERSHIP TYPE:- ORDINARY / FAMILY / INSTITUTIONAL ---UK / OVERSEAS

*PUBLICATIONS CLUB:- YES/NO

(Delete above as appropriate)

Please Debit my Visa /MasterCard (delete as appropriate) Card No. OR Cheque Number ____________________

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Expiry Date:

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Name Shown on Card _______________________________

AMOUNT £ ______________

Signature __________________________ DATE _________________

Sterling Cheques should be made payable to FIFE FAMILY HISTORY SOCIETY

Data Protection Act

For Society administration purposes, Members names and addresses are stored electronically. These will not be passed to any third party without your consent. Please circle your answer to the following statement:

I give my consent to my name and address being published in the Society Journal YES / NO

Please retain the information below

SUBSCRIPTION RATES are:-

Membership is from 1st October to 30th September of following year and includes 3 Journals

SINGLE ORDINARY ADULT MEMBER (UK) ----£10 OVERSEAS----£12

FAMILY MEMBERSHIP (2 PEOPLE,Same address) (UK) ----£12 OVERSEAS----£14

INSTITUTIONAL MEMBER (UK) ---------£12 OVERSEAS----£14

*PUBLICATIONS CLUB -----------------£6-00

SUBSCRIPTIONS ARE DUE ON THE 1st OCTOBER EACH YEAR

Please send in MEMBERS INTERESTS FORM(see M.Interests' Page ) with this MEMBERSHIP FORM and please send both forms with your subscription to the Membership Secretary:-

Mrs. Margery Sinclair
1 Collins Crescent
Dalgety Bay
Fife
KY11 9FG

* PUBLICATIONS CLUB: For an annual fee of £6-00 members of the Publications club will be sent an additional booklet along with their Journal. The PC booklets our members have received in the past have covered Baptismal indexes, Wills indexes and Monumental Inscriptions for various graveyards in Fife.

Please note: Due to limitations placed on us by our bank, credit card transactions of over £25 will be split into smaller transactions.