Application for membership
Please print this form and return it to the secretary
I enclose the fee of £10 for 12 months membership.
Please make cheques/bankers drafts payable to the Walsall Family History Group
| Name (Print) (Mr.Mrs.Ms.Miss).... | __________________________________ | |
| Address ............................................ | __________________________________ | |
| __________________________________ | ||
| __________________________________ | ||
| __________________________________ | ||
| __________________________________ | ||
| Post Code ......................................... | __________________________________ | |
| E-mail ............................................... | __________________________________ | |
| Tel. No ............................................. | __________________________________ | |
| Signature .......................................... | __________________________________ | |
| Date .................................................. | __________________________________ |
Details of Interests
(continue on separate sheet if necessary)
| Surname | Period | Town | County (Pre 1974) |
| Please delete the appropriate words below to indicate if you do or do not want your interests put on to the web site |
| I do/ I do not/ want my interests put on to the web site | |
| P.S. Could you tell us where you heard about our group : - _______________________________________________________________________ | |