Membership Application - Print this Form

Gloucestershire Family History Society

Annual Subscription Rates

UK Membership	£10.00
Overseas Membership	£12.00

Membership runs from 1st April annually. Payment should be made in Sterling only. Please make cheques payable to Gloucestershire Family History Society.

If you would like to pay by credit card click here for a form.

Title:	Mr / Mrs / Ms / Miss /
Full Name:
Address:

		Postcode:
Email:
Signed:		Date:

For those joining on or after 1st February, it will run through to the end of the next membership year. Please state Membership Year required below, otherwise it is established by the date of the signature above.
Membership Year: 200.. to 200...

Please send your subscription to the appropriate Membership Secretary:

Membership Secretary (Surnames A-M): Sheila Coatsworth Brown, ‘Ballaghy‘, Pittville Circus Road, Cheltenham, Gloucestershire GL52 2QE
Membership Secretary (Surnames N-Z): Noel Stevens, 3 Severn Close, Maisemore, Gloucestershire GL2 8ET

As a member of the Society, your name and details of membership will be kept on a computer. This is essential for administration purposes.

Data Protection Act 1998. Registered Number: Z503130X

Updated @DATE@