NORTH  OF  IRELAND  FAMILY  HISTORY  SOCIETY

Charity No  XR22524  &   Website  www.nifhs.org

 

Mailing address:-  North of Ireland Family History Society, Unit C4, Valley Business Centre,

67 Church Rd, Newtownabbey, Co Antrim, N. Ireland, BT36 7LS

 

 

2012 -  ASSOCIATE  MEMBER APPLICATION  or  RENEWAL FORM

 

Membership is from 1.1.2012 to 31.12.2012.   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

2012

(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..  …………………………….………………………

 

 

Office Use

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