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ALSTONVILLE PLATEAU HISTORICAL SOCIETY INC.

"Crawford House Museum" 10 Wardell Road, Alstonville NSW 2477

RESEARCH FORM

Costs: $25.00 initial enquiry fee to cover research costs.

$15.00 per day in house research + photocopying - 30c per page

Direct Payments to Commonwealth Bank Alstonville. BSB: 062 657 Account: 10071544

Emailed information available from: aphs2477@yahoo.com.au

NAME:_________________________________________________________ ADDRESS:_____________________________________________________________________________ Tel:.........................Email:........................

Signed:............................................ Date:.............................

Names needed to research:_____________________________________

Spouse if known:_______________________Period of Time?_______________________Area:_______________________ Other known info:_________________________________________________________________

Forward this form with money to: Hon. Treasurer, APHS Inc. PO Box 65 Alstonville 2477 MEMBERSHIP AVAILABLE: $18.00 p.a.+ newsletter postage $5.50 p.a.= $23.50 [2009]. MEMBERS RESEARCH COSTS HALF PRICE.