THE MID GIPPSLAND FAMILY HISTORY SOCIETY Inc Association number A0023846S. ABN 88 735 748 406 44 Albert Street, Moe Vic, 3825 mgfhs.inc@gmail.com |
Application for Membership
To the Committee
I, ....................................................................................................................... , (print name)
of .........................................................................................................................., (address)
wish to become a member of The Mid Gippsland Family History Society Incorporated.
I agree to support the Purposes of the Society and to comply with the Society’s Rules (available at http://home.vicnet.net.au/~mgfhs/admin.htm or on application)
Signature of Applicant..........................................................................Date...................................
Send the completed form to the Secretary at the address above or arrange delivery by hand.
Fees to accompany application as shown below. Membership renews next August
▢ Single Subscription: 12 months $25 ▢ Family Subscription: 12 months $30
▢ Single Subscription: After Janry $12.50 ▢ Family Subscription: After Janry $15
Additional Contact Details
Postal Address if different to above* | |
Phone | Landline: Mobile: |
Email address |
By default, the MGFHS will send all official communication to your email address, if valid.
* Tick here: ▢ and we will only use your postal address.
Member’s Interests (Please show Surnames with the appropriate Periods, Regions or Countries).
Free listing of Family Research for financial members on mgfhs.org
Membership ▢ Accepted by the committee. Date........................................................
▢ Applicant notified
▢ Membership Register updated Date.........................................................
Receipt No:_______ New member kit supplied: _____