Membership Application Form

Please enrol me/us* as a member of the Shropshire Family History Society

I/we* enclose my/our* subscription of

  * £9.00 Ordinary Membership (one person)
  * £10.00 Family Membership (two people living at the same address)
              Both of these amounts include a Joining Fee
   (Please see previous page for $ prices)
Cheques payable to "S.F.H.S" or "Shropshire FHS"

 Season 1^st October _______ to 30^th September ______

Anyone joining between 1^st April and 30^th September in any year may opt to pay for 18 months membership (£12.50 for single membership or £14 for joint membership). If applicable tick [    ]

(MAIN MEMBER) SURNAME______________________________________________ 

Forenames(s) ____________________________ Title* Mr/Mrs/Miss/Ms/Other

(FAMILY MEMBER) SURNAME_____________________________________________

Forenames(s) ____________________________ Title* Mr/Mrs/Miss/Ms/Other 

Address ______________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Post/Zip Code________________

Telephone _____________________________ 

Fax__________________________________

Email address_____________________________________________

Personal Family History Web-Site___________________________________________

We will assume that these numbers may be passed to other researchers unless you say otherwise, in which case they would only be used by officials of the society 

Occupation______________________________________________________

If any married lady would like us to record her maiden name, please enter it here______________________________________________________

Where did you hear about the Society?_____________________________________________

Which other Family History Societies do you belong to?_______________________________

PLEASE NOTE THAT MEMBERSHIP DETAILS ARE STORED ON A COMPUTER

(* delete as appropriate)

Jan 08 v4