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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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