NORTH OF IRELAND FAMILY HISTORY SOCIETY Charity No XR22524 & Website www.nifhs.org Mailing address:- North of Ireland Family History Society c/o School of Education, Queen’s University, 69 University Street, Belfast, N. Ireland BT7 1HL 2011 - ASSOCIATE MEMBER APPLICATION or RENEWAL FORM Membership is from 1.1.2011 to 31.12.2011. You will receive the two journals of "North Irish Roots" published that year - usually late Spring and late Autumn.
(please complete as appropriate) N.B. all prices include postage
Title			Membership Number					A……….……
Forename
Surname
Full Postal Address
Email
I wish to join / renew and agree to my details being held on computer for use in Society publications
	Signed
	Date
Subscription to join / or renew for		UK, Ireland & Europe			N. America & Australasia	PLEASE COMPLETE
2011 (remember all members may join for 3 years 2011, 2012 and 2013 - to reduce Bank Charges)		£12.00 (£36.00) for 3 years			£14.00 (£42.00 for 3 years)
if you wish to make a donation to Society - please
TOTAL - UK STERLING ONLY - SEE BELOW
N.B We regret that due to very high local bank charges, we can only take UK Sterling cheques payable to “North of Ireland Family History Society”
GIFT AID DECLARATION A way to help Society Funds at no cost to yourself From 1.4.2000 for each UK Tax payer, the Society may claim tax relief on subscriptions
I wish the Society to treat any subscription paid by me and any further payment I make while I remain a member as a Gift Aid donation. Please sign below if this applies to you and you agree to it. Date ……………………………………….. Signed.. …………………………….………………………
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