Surname: _________________________________________________________ Given Names: _________________________________________________________ Preferred Names: _______________________________ Birth Year(s): _________ (for insurance purposes) Address: _________________________________________________________ _________________________________________________________ Post Code: _____________ Telephone No: __________________________ Email: _________________________________________________________ By submitting this form you agree to having your details stored by the Group for membership management purposes. Signature: __________________________________ Date: ______________ ANNUAL MEMBERSHIP SUBSCRIPTION: Single: $30 [ ] Pro-rata joining rates apply throughout the year and joint membership requires a common address Joint: $40 [ ] An invoice will be sent on receipt of your approved application. Payment can be made by cash, cheque or Electronic Funds Transfer. ALL MEMBERSHIP RENEWALS ARE DUE BY 1ST JULY EACH YEAR Send Completed application to: or Email: secretary@lmfhg.org.au The Secretary, Lake Macquarie Family History Group Inc. PO Box 639 TORONTO NSW 2283 To assist planning it would be helpful if you could respond to the following: How many years have you been doing family history research? _________________ Countries are you researching? ______________________________________________ Internet research ability: Nil [ ] Beginner [ ] Intermediate [ ] Advanced [ ] Computer recorded research Yes [ ] No [ ] Which program? ____________________ Is your research online? Ancestry, MyHeritage etc ___________________________ Have you had a DNA test? If yes which company(s) ____________________________