Online membership form

Option: *

New member registration

Membership renewal

Update membership details

Membership number (if known)

Title (optional)

Mr, Mrs, Ms... etc...

First Name(s) *

Surname *

Address *

Postcode *

Email address *

Phone Number (optional)

Membership class (select one) *

UK or Overseas membership with E-Magazine (£11)

UK membership with Postal Magazine (£15)

Overseas membership with Postal Magazine (£20)

Payment Method *

Bank Transfer - UK

Bank Transfer - IBAN

Parish Chest

Cheque

PayPal

Other/already paid

Gift Aid? (UK tax payers only)

Yes

No

I want to Gift Aid my donation and any donations I make in the future to the Ormskirk & District Family History Society. I am a UK Taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in the relevant tax year it is my responsibility to pay any difference. Gift Aid is a major source of income for the Society and helps us maintain membership subscriptions at their present level at no extra cost to you.

Members' Interests (optional):

Please give details of names you are researching, with dates & places if appropriate. Would you like these to be included in:

The next issue of the Society Magazine/Newsletter?:

YES

NO

The Directory of Members's Interests?:

YES

NO

If other members share your interests, may we pass on to them:

Your name?

YES

NO