Romany & Traveller Family History Society
Membership Form
A non-political non-profit making self help group. Member of the Federation of Family History Societies.

Mr/Mrs/Ms/Dr/etc ________________ Name _______________________________
Address _____________________________________________________________
____________________________________________________________________
____________________________________________________________________
_________________________________ Postcode ___________________________
Telephone number (optional) (Tel No will not appear in the journal) _________________________
E-mail address (optional) (please use capital letters) _____________________________________
E-mail address will not be published. Would you like e-mails from other members forwarded to you? Yes/No

FEES PAYABLE (Sterling only please)
Ordinary or Family Membership (family members living at same address - one journal per family)
12 months - 1 Oct 2012 - 30 Sep 2013 (Journals Dec 12, Mar 13, Jun 13, Sep 13)
UK £12.00 _______ Europe £16.00 _______ Elsewhere - Airmail £20.00 _______

List here the names of persons covered by family membership _____________________
____________________________________________________________________

RESEARCH INTERESTS
Surname - Persons, places, periods of interest
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Examples:
STANLEY - All in Hants, Surrey, Sussex 1750-1900
AYRES - Clementina wife of William Blackman, m 1799 Thatcham Berks
DAWSON - William - aged 47 on 1891 census Weston Patrick, Hants

Names, addresses, and research interests will be held by the Society.
If you wish to have your interests published in the journal, it is important that all sections
below are completed and the form signed.

I agree to publication of my interests in the journal. Yes/No
I consent to my contact details and research interests being made available, on request, to fellow
members with similar interests. Yes/No
I will not pass on any fellow member's contact details, research interests, or family history without
the permission of that member.
Signed _______________________

Where did you hear of the RTFHS? ________________________________________

Send completed form with cheque, payable to Romany & Traveller FHS, to
Mrs B Walker, 1 Ancona Close, Ramleaze, Swindon, SN5 5NR, UK.

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