Tamworth & District Family History Group Inc

Application/Renewal of Membership

Please fill in your details, print it, sign it and return to the address below

 

Name:

Address:

City:

State:

P/code:

Country:

Phone:

Fax:

Email:

Please indicate with an (X) which fee structure. All Fees are due on the 1st of July each year.

 

New Membership

Renewal

$5.00 Initial Joining Fee ...... (One time only or if membership lapses)

$35.00 Family Membership

$30.00 Single Membership

$20.00 Students & Pensioners

I hereby agree that I will not use any of the group's resources as a profit making venture for myself.

Signature :___________________________________ Date :________________

..................................................................................................................................................................................

 


N.B.
If you have a current Australian Pensioners Healthcare Card, Please photocopy both sides
and include with your correct remittance.
Your card details are NOT kept,
it only needs to be sighted
.

Please return the above form with a Cheque or Money Order in Australian Dollars.

To: The Secretary

Tamworth & District Family History Group Inc.
P.O. Box 1188,
TAMWORTH NSW 2340
AUSTRALIA.


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