Make your own free website on Tripod.com

Founded 1994
Membership form 2008

 

Name
_____________________________________________________________________________________
(Block Capitals please) Mr.Mrs./Miss/Ms./Rev./Dr.
Address
_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Tel
_____________________________________________________________________________________

Email
__________________________________________________________Please write clearly

Signature:-
______________________________________________________________________________

Annual Subscription
€15.00 or $20 us dollars or $25 australian Dollars or £12 sterling

If you would like to pay by paypal Please Click on the logo below

If you pay through pay pal please confirm your address by emailing to apcoleman@eircom.net thank you

Payable on 1st January
Please print out form and send with payment of €15 to :-
Cork Genealogical Society, C/o Olive Coleman, 22 Elm Drive, Shamrock Lawn, Douglas, Cork, Rep. of Ireland.
payment can be made with cheque equivalent in own currency to save on bankdraft charges.
Use www.xe.com to find exchange rate.



Office use only Date…………………….…Reg.no……………….. Cash.cheque…………….