SUSSEX FAMILY HISTORY GROUP

Registered Charity Number 273726
VAT Reg No. 837 1655 13

SUBSCRIPTION RENEWAL

Subscriptions become due on the 1^st January. Please submit your subscription payment, by sterling cheque, VISA, or Mastercard, at the appropriate rate enclosing the tear off slip below, to:-

John Commins
11 Wellwood Close
HORSHAM
West Sussex RH13 6Al
England

If you wish to pay by Bankers Order then please complete the form at http://www.sfhg.org.uk/bankersorder.pdf and SEND IT DIRECTLY TO YOUR OWN BANK.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I wish to renew my subscription as indicated below: (please circle choice)

Cheque & Cash payments in Sterling Only Please

Name (as on card for cc payments).................................................................................

Address...........................................................................................................................

Telephone number ...........................

............................................................... Email..............................................................

VISA/Mastercard Number........................................................ Expiry Date....................

Check Verification Code (three digits on rear of card) .....................

Membership Number.............. Signed.................................................... Date...............

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _