The Armstrong Clan Association
Application for Registration
Information

I wish to apply for registration in the Armstrong Clan Association. I understand that there is a one-time entrance fee of A$10 to which I will add the first year dues (details of which appear below).
I also understand that you will send me ancestor charts to fill in to the best of my ability.

Please Complete in Block Letters 
Full Name     ...........................................................


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


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


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

Telephone    (.....)  ..................



Annual (Jan - Dec.) Rates:
Standard Individual  .....................A$20.00       .......
Standard Household  ....................  A$25.00       .......
(Household: for two or more at the same address)


Senior Individual  .......................A$10.00       .......
Senior Household  ........................A$12.50       .......
(Senior/Over 65)

                                     Joining fee     A$  10.00

                                     TOTAL           A$ .......
Registration includes the current issue of The Armstrong News per year. Free query publication, and referral to relatives through registration.

Please print out the above form by going to your "file" button and selecting "print"

      Please post (snail mail) the completed form
      and cheque (made out to "The Armstrong Clan") to the
      the Australian Convenor of the Armstrong Clan:

          Gil Armstrong
          7 Berwick Crescent
          Maryland
          N.S.W.         2287
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