| Title: | ________________________ (Mr. Mrs. Miss, Dr. Other) |
| Name: | ______________________________________________________ |
| Address: | ______________________________________________________ |
| ______________________________________________________ | |
| ______________________________________________________ | |
| Post/Zip Code: | ______________________________________________________ |
| Telephone Number: | ______________________________________________________ |
| Email address: | ______________________________________________________ |
| Are you an existing member? | Yes / No (Please delete as appropriate.) |
Please find enclosed to subscription of * individual (£25) : institutional (£35) for membership of the Lancashire Parish Register Society.
* Please delete where appropriate and send your subscription to LPRS Publication Sales
Publication Sales,
Mr Neil Hudson,
Lancashire Parish Register Society,
Raising House,
Leece,
Nr. Ulverston,
Cumbria,
LA12 0QP
Cheques should be made payable to "Lancashire Parish Register Society"
Please note that new publications will be sent to the above address during the course of the year by
second class or surface mail
so DO ensure the details are complete AND advise us of any changes!