cork genealogical society

Founded 1994

Membership form

 Name
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(Block Capitals please) Mr.Mrs./Miss/Ms./Rev./Dr.
Address
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Tel
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Email
__________________________________________________________Please write clearly

Signature:-
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Annual Subscription €15.00 or $20 us dollars or $25 australian Dollars or £12 sterling

Payable on 1st January
Please print out form and send with payment of €15 to :-
Cork Genealogical Society, C/o Olive Coleman, 22 Elm Drive, Shamrock Lawn, Douglas, Cork, Rep. of Ireland.
payment can be made with cheque equivalent in own currency to save on bankdraft charges.
Use www.xe.com to find exchange rate.

Office use only Date………………….…Reg.no……………….. Cash.cheque…………