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NORTH OF IRELAND
FAMILY HISTORY SOCIETY
Charity
No XR22524 & Website www.nifhs.org
Mailing
address:-
c/o
School of Education, Queen's University, 69 University Street, Belfast,
N.Ireland BT7 1HL
2004
- Associate Member Application or Renewal Form
Membership
is for 1.1.2004 to 31.12.2004
You will receive the two journals of "North
Irish Roots" published that year - usually late Spring and late Autumn
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Please complete as appropriate
N.B. All prices include postage |
| Title |
Membership no:
A............................ |
| Forename |
| Surname |
| Full Postal Address
|
| Email Address |
|
I wish to join / renew and agree to
my details being held on computer for use in Society Publications |
| Signed |
| Date |
| Subscription
to join/renew for |
UK, Ireland
& Europe |
N. America
& Australia |
Please
Complete |
|
2004
N.B.
Members from other Countries may pay for 3 yrs 2004,5 and 6 to minimise their Bank
charges |
£12.00 |
£14.00
(or £42.00 for
3 years) |
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If you wish
to make a donation to the Society - please |
£ |
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TOTAL - UK STERLING ONLY
(See below) |
£ |
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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 UK Tax payer, the Society may claim tax relief on
subscriptions |
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I wish the
Society to treat any subscription paid by me and any further payment I
make while a member as a Gift Aid Donation. Please sign below if this
applies to you and you agree to it.
Date:............................................
Signed:.......................................................... |
| For Office Use |
Batch No |
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