Membership
Lake Macquarie Family History Group Inc.

 

Lake Macquarie Family History Group Inc.
Application for Membership


   Name(s): __________________________________ Birth Year(s): ________  

   Address: _______________________________                             

            _______________________________                             

            _______________________________   Phone: _________________  

 Post Code: ________  email: _________________________________________  


 Please tick the appropriate boxes:                                     

 I do [ ] do not [ ] give my permission for the Lake Macquarie Family   
   History Group Inc to list my research surnames on their Web site     
   including my member number which links to my email address.          
   (your member number will only appear if you have no email address)   

 I do [ ] do not [ ] agree to my name, address, phone no & email address
   being given to persons researching the same family names as myself.  



  Signature: __________________________________   Date: ______________  



  ANNUAL MEMBERSHIP SUBSCRIPTION:      Single: $25   [ ]                
      (Pro-rata rates apply                                             
        throughout the year)           Family: $30   [ ]                

                                       Total enclosed:    $__________   

  Please make cheque/money order payable to                             
  Lake Macquarie Family History Group Inc.                              

  ALL MEMBERSHIP RENEWALS ARE DUE BY 1ST JULY EACH YEAR                 

  Forward application to:                                               


  The Secretary,                                                        
  Lake Macquarie Family History Group Inc.                              
  PO Box 4080                                                           
  WOODRISING  NSW  2284                                                 

 


Lake Macquarie Family History Group Inc.
PO Box 4080 Woodrising New South Wales 2284 Australia
Updated 28 March 2013 Webmaster
Copyright © LMFHG