THE SOUTHERN SONS OF CORNWALL INC
MEMBERSHIP DETAILS Date Joined _____________
Subscription: $20 per family from Jan 1st – Dec 31st
Name Badge (if required $10) preferred name _________________________
Cheques to be made payable to Southern Sons of Cornwall Inc.
Mail to Treasurer:
Geoff Wells
26 River Road
Sussex Inlet NSW 2540
Mr/Mrs/Ms First Name________________ Family Name________________________
Street _________________________________
Town/Suburb ___________________________State _______Postcode ______
Telephone _________________
Email _____________________I would like to receive the newsletter by email Yes / No
Birthday ____________________ (year optional)
Partner _________________Birthday ___________
Others _________________Birthday ___________ Others _______________Birthday ___________
Interests
________________________________________________________________________________
Main Genealogy Research
NAMES
PLACE
DATES