Qualicum Beach Family History Society Membership Application

Name(s)_________________________________________________

Address__________________________________________________

Province___________________ Postal Code____________

Telephone__________________ E-mail_________________________

Membership Category: Personal Family Associate

Membership information is protected in accordance with the Personal Information Protection Act of BC and the Privacy Policies of QBFHS

Please mail with cheque to:

Qualicum Beach Family History Society

823 Lakes Boulevard, Parksville, BC. V9P 2P8

or bring to our next meeting.