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Stawell Biarri Group for Genealogy Inc

Application for Membership

Name(s):
 
Postal Address:
Postcode
Telephone
Fax:
E-mail:
Signature:
   
I am interested in the following:
(Please give details of names/subjects, Towns, Counties, Countries and time period, if known)
Surnames:
 
One-Name Studies:
Other:
Subscriptions:
Family:  $A25   Single:  $A20
Please send form with Cash, Cheque or Money Order to:
Stawell Biarri Group for Genealogy Inc
P.O. Box 417
STAWELL Vic. 3380
Australia