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ORDER FORM and MEMBERSHIP REQUEST/RENEWAL 2009-2010

 

Family History Group of Bathurst Inc.
PO Box 1058
Bathurst NSW 2795


ITEM COST PAY   
Membership Renewal for 2009-2010 (due 30th June) (Pro Rata after 1 January) $25.00  
Joining Fee $10.00 plus $25.00 Membership for 2009-2010 $35.00  
Bathurst & Kelso Burials & Cremations CD (incl. postage within Australia) $55.00  
"Bathurst Pioneers" (CD) (Including Postage within Australia) $60.00  
Bathurst Cemetery -- Individual Inscriptions. (1-2: $5, 3-5: $10, 6+: $2 ea)
Nos.:		 $            
Members' Interests 1996 $  5.00  
Research Kit $10.00  
Research Enquiry (Request Form attached.) $20.00  
Headstones and Inscriptions, Dennis Island Cemetery (DVD) $30.00  
C4 (324x229mm) envelope with prepaid postage
A large stamped self-addressed envelope is enclosed 		OR
 $2.50  $ 
TOTAL  $ 
 

 

Payment Method (Please encircle)    Cheque   |  Money Order   |  Credit Card   |  EFT
 
Member No:
Name:
Address:
 
 
Postcode:
Email:
Telephone No.:
Mobile No.:
CARD:        MasterCard  |  Visa
Card No:
Expires:
Cardholder Name:
Signature:
Date:
EFT
Reference:

Transfer to:
BSB: 082-441
Account No: 215485025
Account Name: Family History Group of Bathurst Inc.

Last updated on Tuesday, 3 November 2009 at 23:21 EST

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