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MEMBERSHIP APPLICATION FORM

Mr/Mrs/Miss/Ms.........Surname:............................................................................................................

First names:...................................... First name of Spouse:....................................................................

Address:................................................................................................................................................

..............................................................................................................................................................

County/State:.................................... Postcode/Zipcode:.............................Country:..............................

Tel. No:............................................ E-mail address: ............................................................................

I wish to become a member of the Beresford Family Society and enclose my annual subscription of £15.

Signature:............................................................................................................Date:.............................

The annual subscription for a family membership is £15, for both UK and Overseas members. Pay either by Sterling cheque (not currency) payable to ‘The Beresford Family Society’, or, preferably, by Bankers Order, by completing the form (*click here) and sending to the Membership Secretary.

For Overseas members, the use of PayPal via the internet has been found to be the most convenient and economical way of sending Sterling amounts to the Society. For how to send by PayPal (*click here)

The Society holds many records of family members on its computer files. It would be very helpful if new members would submit details of their family line (parents, grandparents, etc.) together with any other relevant facts. We can then try to link more members with each other and to the Family Tree.

Also, if you would like to give any other information about yourself (e.g. occupation, interests, age, or hobbies) it would help us build up a background of our membership so that we can better serve our members needs.

Please forward this completed application form to the Membership Secretary:-

Mr John Beresford, 37 Station Road, Barrow Hill, Chesterfield, Derbyshire S43 2NL.