Form

The Great Southern Family History Society

Katanning Shire Library

Austral Tce, Katanning WA.6317

Mailing Address = 8 Cliff Street, Katanning, W.A. 6317

Email - Address = d.irene@westnet.com.au

ANNUAL SUBSCRIPTION 2013/2014

SINGLE MEMBERSHIP- $20.00 JOINT MEMBERSHIP -$30.00

 

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GIVEN NAME/S .

ADDRESS TOWN

STATE POSTCODE TEL FAX .

EMAIL .

I/We apply for membership for the year ending 30th April 2014

SIGNATURE/S

DATE;

PLEASE LIST THE SURNAMES THAT YOU ARE RESEARCHING

 

 

Surname

Place/Town

State/County

Country

Period