Membership Application

Family Name

Given Name(s)

Preferred Name

Title

Street Address

Address (cont.)

City

UK County /State/Province

Zip/Postal Code

Country

Telephone

E-mail

Website Address

Please tick if you do not wish information that you provide to be placed
     in the Society's data base

I am interested in helping with one or more of the following. Please send me more details:

Assisting the Records Officer with research
Writing articles for the newsletter
Providing the Records Officer with documents and photographs
I have a PC and am willing to help input data

I heard about the AFHS from:

A relative or friend                    Record office
Family History Society               Web site                Other

Signature .........................................          Date ....................