Fife Family History Society
	Members Interests Form

Please see Instruction Page prior to completing form. Please use BLOCK CAPITALS

FULL NAME________________________________________________________________________

ADDRESS __________________________________________________________________________

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E-Mail Address:___________________________ TELEPHONE -- Home _______________________

MEMBERSHIP NUMBER _____________________________(Leave blank if not known)

SIGNATURE__________________________________ DATE____________

Data Protection Act: For Society administration purposes, Members names and addresses are stored electronically. These will not be passed to any third person without your consent.

I understand that these details will be published in the Society Journal, for purposes of making a genealogy connection only.

HELP WANTED

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Return to : Mrs. Margery Sinclair, 1 Collins Crescent, Dalgety Bay, Fife KY11 9FG