The S*rm*n Family History Society

Membership Form

I/we wish to join/rejoin/renew our membership of the Society and enclose my/our subscription being: £7.50 per address in the UK or £10.00 per address overseas. (US$20)

Full Name:
Address:
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Telephone & Fax Number:
E-mail Address:
Spouse or partner's name:
Brief description of interest and connection to the family:
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If you would like to submit an article or comment for publication in The Pulpit it would be extremely welcome.

Please forward this form together with your subscription to:

Pam Sermon

24 Monks Walk, Bridge Street, Evesham, Worcestershire WR11 4SL, England

Subscriptions are due on the 1 July each year and should be sent to Pam in order to ensure you receive your copy of The Pulpit. Cheques or Postal Orders are acceptable and should be made in Sterling and payable to the

Surman Family History Society


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