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Cymdeithas Hanes Teuluoedd
Powys Family History Society

MEMBERSHIP APPLICATION FORM (Postal)
Member of the Federation of Family History Societies.
Member of Association of Family History Societies of Wales
Charity No.511875

(BLOCK CAPITALS, PLEASE)

Title / Full Name(s): ................................................................................................

Address: .................................................................................................................
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Post / Zipcode: ............................................ Country: ...........................................

E-mail Address: .............................@.......................................... Date: ....................

I / We wish to become a member(s) of Powys FHS - and enclose the relevant subscription fee:
Type A: [_] Individual / Family UK / Ireland membership GBP 12.00 per annum
Type B: [_] Overseas membership GBP 15.00 per annum
please tick appropriate box

NEW MEMBERS' INTERESTS - (BLOCK CAPITALS, PLEASE)
Surname Forenames Parish/Area
County
Year
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Your 'Interests' will appear in the first available issue of the Society's journal 'Cronicl Powys'


UNITED KINGDOM DATA PROTECTION ACTS
The personal information you provide will be kept on a computer file. To comply with the above Acts please indicate below whether or not you object to this. The information will not be used for any other purpose


I / We object [_] - I / We do not object [_]

PAYMENT: please send cheques (Sterling only) payable to 'Powys Family History Society' together with the completed form to: Mrs Angela Jones. Membership Secretary.
'Briar Patch', The Ridgeway, Penally, TENBY. Pembrokeshire SA70 7RJ

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