HILLINGDON FAMILY HISTORY SOCIETY| Meetings held at Hillingdon Park Baptist Church Hall, Hercies Road, Hillingdon Circus generally on the third Thursday in the month (except August and December) at 7.30pm | Please return this form to: Mrs Patricia Reynolds Membership Secretary Hillingdon F.H.S 20, Lilac Place Yiewsley, West Drayton Middlesex UB7 8LR |
HILLINGDON F.H.S. MEMBERSHIP FORM
PLEASE COMPLETE THE FORM IN BLOCK LETTERS| Name (1): Mr/Mrs/Miss | _____________________ | ______________________ | ________________ |
| LAST NAME) | FIRST NAME(S) | OCCUPATION | |
| Name (2): Mr/Mrs/Miss | _____________________ | ______________________ | ________________ |
| LAST NAME) | FIRST NAME(S) | OCCUPATION | |
| Address: | _____________________________ | Signature 1: | ____________________ |
| Town/County/State: | ___________________________ | Signature 2: | ____________________ |
| Post/Zip Code: | _______________ | Today's Date: | ____________________ |
| E-Mail No: | _________________________ | Telephone No: | ____________________ |
SUBSCRIPTION RATES
| U.K. Individual | £10.00 | Family (2 persons at same address) | £14.00 |
| Junior (10-16 years old) | £6.00 | Overseas Member | £13.00 |
| Corporate | From £13.00 | Concession * | £2.50 * |
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| ¨ | Family History Fair | ¨ | Local Newspapers | ¨ | Word of Mouth | ¨ | Other (Please State) | _________________ |