Please complete this form, then print and send it with your payment
to: The Treasurer, NPFHG, 34 East Moulin Rd, Pitlochry, PH16 5HY.
Member
One:
Title:
Initials:
Last
Name
Address
1:
Address
2:
Address
3:
Post/ZIP
Code:
Country:
Phone
Number:
(optional)
E-Mail
Address:
Member
Two:
Title:
Initials:
Last
Name
Address
1:
Address
2:
Address
3:
Post/ZIP
Code:
Country:
Phone
Number:
(optional)
E-Mail
Address:
Payment
method:
chequepostal orderforeign draft
Cheques/Postal orders/Sterling bankers draft made payable
to
"North Perthshire Family History Group"
Total
amount:
One Member £10 Two Members (at the same address) £16
Data Protection Act :
We may contact you from time to time with news from North Perthshire Family History Group. Please tick the box opposite if you would prefer us not
to.
North Perthshire Family History Group may store this information on a computer
system, for our record purposes. We do not envisage releasing this information
to a third Party