Up The P-rr-tt Society Contents Contact

Application Form
Online Payment Application Form

 

 

APPLICATION FOR MEMBERSHIP

The society for anyone with an interest in the P*rr*tt name

Founded in 1984 Member of the Guild of One Name Studies

I would like to become a member of the P*rr*tt Society and apply for Individual/Family/Overseas Membership (delete as appropriate).

I enclose cheque No ___________ for the sum of ___________ as my subscription

Title (Mr, Mrs, etc) _______________ Surname _____________________________

First Names _______________________________________________________

Address ________________________________________________________________

Town ___________________________County/State___________________________

Post Code _______________________Phone & Code __________________________

Email _________________________________________________________________

PLEASE READ THESE NEXT TWO PARAGRAPHS AND ACTION AS APPLICABLE

This information will be stored on a computer for the Society’s own use. Please indicate if you have any objection to this.
You may / not (PLEASE DELETE ONE) enter my details on the Society’s database.

We produce four journals a year called “Family Notes” and every two years a “Directory of Members’ Interests,”. If you do not wish to have any part of your details, i.e. Phone, Fax, Email, address or even your name in either of the publications please state which.

_________________________________________________________________________________

_________________________________________________________________________________

Subscription rates are: Single Membership 11; Family Membership, 13; Overseas Membership 13. Cheques (except U.S., Australian and New Zealand currency) in Sterling made payable to The Perrott Society please.

In Australia, annual membership is AUS$ 30. Please contact the local Vice-President, Miss June Parrott, 246 West Fyans Street, Newtown, Geelong, Victoria 3220.

Our thriving Society welcomes new members, so please complete this form and send it with your payment to the Membership Secretary:

Miss Terry Perrett, 4 St James Square, Bath, Somerset BA1 2TR
Sterling cheques should be made payable to The Perrott Society please.

Send mail to webmaster@p-rr-tt.org.uk with questions or comments about this web site.
Last modified: 20 November 2016