Please complete this form (giving your name and address in CAPITAL LETTERS), sign and date below and then post with your payment to the membership secretary whose address is at foot of this form.

Title (Mr / Mrs / Ms / Miss / Dr etc.): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Name(s): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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County & Postcode: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Telephone: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Fax: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

E-mail Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Occupation (optional): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I/We wish to apply for Membership of the Berkshire Family History Society and enclose a cheque or money order (please do NOT send cash) made payable to BFHS for the sum of £ . . . . . . . . . (as detailed below).

I agree Signed: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date: . . . / . . . / . . . . . .  (For office use only: Membership No: . . . . . . . . . . . . . . . . )

If you are a UK Income Tax payer you can Gift Aid your Subscription. By completing the form below and returning it to us the taxman will recognise your subscription as a contribution to charity and will credit the Society with the basic rate tax that you have already paid. For further details contact the Secretary.

Please help by telling us how you heard of the Berkshire Family History Society

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Data Protection Act 1998 - It is a condition of Membership that all member details may be held on computer. The details will be used for the distribution of information to members. They will not otherwise be disclosed to anyone who is not a member of the society."

Please Also complete a Gift Aid Declaration
This will enable us to reclaim the UK Income Tax you have paid on your membership subscription

Membership Secretary

Bob Plumridge, Membership Secretary,
Berks FHS, Yeomanry House, 131 Castle Hill, READING. RG1 7TJ United Kingdom