GSV Membership Application

Please note: this order will not be processed until payment is received.

Step 1. Complete this form and click 'Submit'

Step 2. 'Buy' the item and pay at 'checkout'

Please complete the following details (* Required field)

	MEMBER 1		MEMBER 2 (if applicable)
* Surname		*Surname*
* Given Names		*Given Names*
Title		*Title*
Occupation		*Occupation*
* Street Address		*Year of birth*
Address (cont.)
* City			How did you hear about the Society?
* State/Province			Internet Public Record Office
* PostCode			Library Other Society
Country			Radio Other
Work Phone			Press advertisement
* Home Phone			Special Promotion
Fax
Email			Are you a member of other family history societies?
Year of birth			Society of Genealogists (London)
			Society of Australian Genealogists
	* Membership Type		Royal Historical Society of Victoria
			Australian Institute of Genealogical Studies
			Other (please specify)
			GSV Member Society
			Victorian Society
			Interstate Society
			Overseas Society

Please check your details, when you click on the 'Submit' button you will be returned to the shop.

Please note: this order will not be processed until payment is received.

Step 1. Complete this form and click 'Submit'

Step 2. 'Buy' the item and pay at 'checkout'

Personal information is used only for GSV purposes. It is not disclosed to any other party unless to provide GSV services, or is required by law. A copy of the GSV Privacy statement is available on request.
Revised: October, 2004