Once you have printed and completed this form send it to: Members' Interests Secretary, Wiltshire Family History Society, 10 Castle Lane, DEVIZES, SN10 1HJ, UK |
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Membership No: .................................... Name: (Mr/Mrs/Ms/Miss/Other(please specify))................................ |Address:............................................................................................................................................................ |.......................................................................................................................................................................... | Post/Zip Code............................... |
| This submission is .............NEW ....................ADDITION ....................REPLACEMENT (circle the one that applies) |
| Research Name | Location (Parish or Town) | Chapman County Code or State and Country | Date or Period |
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