Membership Fees

Membership is renewable each year on on
1st August
Payable on or before 31st July
Yearly Single Membership
£8.00     Yearly Family Membership £12.00

If joining during the year after the 1st February

Half Year Single Membership
£4.00     Half Year Family Membership £6.00

Membership fee to be paid in
Sterling
Membership
Application

Please print off and complete this Membership Application Form and post to:-

The Honorary Secretary, Burntwood Family History Group,
The Annexe, Green Lane Farm, Green Lane, Burntwood, Staffordshire, WS7 9HB.
Your stories and articles for our
Journal
are appreciated
Please submit
your comments
on our site, as they are important to us
                             Your details

Title     Mr..... Mrs..... Miss..... Ms..... Other.......................

Full name  .......................................................................

Street        .......................................................................

Town        ......................................................................

County      .......................................................................

Postcode   .......................................................................

Telephone  ......................................................................

E-mail       .......................................................................
Please tick here
if you don't want to be E-mailed directly by people researching your surname interests
                                           SURNAMES BEING RESEARCHED

SURNAME
             COUNTY                  AREA                             DATES
Example:
SMITH                    Staffordshire              Burntwood    (< 1840) or (1840>) or (1820 - 1860)

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There is not limit to names to include. Continue on the rear of this printed off sheet if neccessary
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