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 _______________________________________________________
Post Code _______________________Phone & Code __________________________
PLEASE READ THESE NEXT TWO PARAGRAPHS AND ACTION AS APPLICABLE
This information will be stored on a computer for the Societys own use. Please indicate if you have any objection to this.
You may / not (PLEASE DELETE ONE) enter my details on the Societys 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.