THE FAMILY HISTORY SOCIETY OF CHESHIRE

MEMBERS' INTERESTS FORM
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Mr Chris Hughes, The Anchorage, 105 Marine Drive, Rhos-on-Sea, Colwyn Bay, LL28 4HU
Contact the Members' Interests Secretary

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Date: _____________       Membership No: ________________
Name: (Mr/Mrs/Ms/Miss) _________________________________________________
Address: ___________________________________________________________________
_____________________________________________________Post Code. ____________
E-Mail Address: ____________________________________

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Surname only Location (including County & Country) Date or Period