Membership form

APPLICATION FOR MEMBERSHIP OF BRITISH ISLES BRANCH

Your full title and name: .........................................................................

Maiden name (if applicable): ................................................................

Home address: .............................................................................................................. .............................

.............................................................................................................. ..............................

Telephone number: ..............................................

Email.......................................................................

Address.................................................................

Occupation: ......................................................................................

Name of spouse: .............................................................................

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FAMILY HISTORY

I trace my Nesbitt/Nisbet affiliation through my

Father....................... Mother..................... Spouse........................

Full name of N/N parent: ................................................................

Date and place of birth: .................................................................

Full name of N/N grandparent :......................................................

Date and place of birth: .................................................................

Full name of N/N great grandparent: ............................................

Date and place of birth: .................................................................

Please give any other family information you feel may be of interest overleaf.

 

Please send this membership form to:

Mr Angus Nisbet, 7 Trent Avenue, London W5 4TL, U.K.


Membership costs £12 within the UK and £16 for members in Europe and Canada, and runs from June to May. Cheques should be made payable to the Nesbitt/Nisbet Society.

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