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) ____________________________