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CAMBRIDGESHIRE FAMILY HISTORY SOCIETY

APPLICATION FOR MEMBERSHIP

Registered Charity No. 278815

Membership No.
(please leave blank)

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Please use CAPITALS throughout

TITLE

MR / MRS / MISS / MS / REV

SURNAME

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FORENAMES

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ADDRESS

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TOWN/CITY 

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COUNTY/STATE

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POSTAL/ZIP CODE

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COUNTRY

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TELEPHONE NO.

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EMAIL ADDRESS

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DATE

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Please indicate if you are able to assist the Society

by taking part in project work

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by joining the Committee

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by using a computer

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by helping at regular meetings

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by research work in Cambridge/other County Record Offices

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To complete your application please complete the Member's Interests form.

Data Protection Act 1984/1998

I understand that information provided by me on these forms will be processed by the CFHS and
will be used for the purpose of (i) providing me with the benefits of membership and goods and
services ordered, and for billing and subscription renewal (ii) listing my name, address, and, if
provided, my e-mail address, and details of my surname interests in future editions of the journal
and the Members' Interests Book, and I agree to the inclusion of my details in the journal and
Members' Interests Book.