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NORTH OF Charity No XR22524 &
Website www.nifhs.org Mailing address:- North of 67 Church Rd, Newtownabbey, Co Antrim, N. Ireland,
BT36 7LS 2012-2014 - ASSOCIATE MEMBER APPLICATION or
RENEWAL Membership
is from 1.1.2012 to 31.12.2014. You
will receive the two journals of "North Irish Roots" published those years - usually late
Spring and late Autumn. |
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(please
complete as appropriate) N.B.
all prices include postage |
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Membership Number |
A
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Forename |
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Surname |
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Full Postal Address |
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Email |
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I wish to
join / renew
and agree to my details being held on computer for use in Society
publications |
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Signed |
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Date |
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Subscription
to join / or renew for |
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PLEASE COMPLETE |
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2012-2014 (membership for 3
years - to reduce Bank
Charges) |
£36.00 (for 3
years) |
£42.00 (for 3 years) |
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if you wish
to make a donation to Society - please |
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TOTAL - |
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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 |
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GIFT AID
DECLARATION A way to help Society
Funds at no cost to yourself From 1.4.2000 for each |
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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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Office Use |
Batch No
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