Copyright Leicestershire & Rutland FHS March 2010

Leicestershire & Rutland Family History Society
Research Centre & Library

MEMBERS SURNAME INTERESTS SUBMISSION

PLEASE FILL IN ALL THE RELEVANT INFORMATION - READ & AGREE THE DPA STATEMENT - AND THEN CLICK “SUBMIT” AT THE BOTTOM OF THE FORM

YOUR DETAILS

IF YOU HAVE JUST JOINED AND NOT YET RECEIVED YOUR MEMBERSHIP NUMBER PLEASE ENTER NEW IN THE MEMBERSHIP NUMBER AREA

YOUR SURNAME INTERESTS

*** DATA PROTECTION ACT ***

PLEASE READ THE DECLARATION BELOW

BEFORE YOU SUBMIT YOUR INTERESTS

WHEN YOU JOIN THE L.R.F.H.S. DETAILS AND PLACES YOU ARE RESEARCHING INCLUDING YOUR NAME & ADDRESS WILL BE PUBLISHED, WITH YOUR PERMISSION, IN THE NEXT AVAILABLE JOURNAL.

YOUR INTERESTS AND MEMBERSHIP NUMBER ONLY WILL BE PUT ON TO OUR INTERNET DATABASE,

YOUR NAME, ADDRESS & E-MAIL ADDRESS WILL NOT BE INCLUDED.

THESE WILL ONLY BE PROVIDED BY OUR CO-ORDINATOR

ON REQUEST. YOUR NAME AND ADDRESS MAY BE SUPPLIED TO ANY

PERSON REQUESTING IT, EITHER WITHIN OR OUTSIDE THE

EUROPEAN ECONOMIC AREA.

THIS ACTION IS RESTRICTED TO MEMBERS ONLY.

 

AGREE TO DPA

DISAGREE TO DPA