form_app

Membership Application Form

First Name

Surname

Title

Street Address

Suburb or Town

State or Territory

Post Code

Home Phone Number

Include codes for country and state area as appropriate.

Mobile Phone Number

Email

Do you expect to be a Settler or an Associated Member (see above for explanation)

Unsure Settler Associated

Settler Ancestor name and year of arrival in Van Diemen's Land/Tasmania

Please list your earliest ancestor and in the box below list each generation to yourself.

Family Line

Please show all details of the members of each generation through whom descent is claimed.
Show name, date of birth, marriage and date of death with place names including State or Territory, if known.

Upload a file (optional)

If is easier to attach a file showing your ancestry please do so

Permissions

Permission granted I prefer not

I give my permission for my name, address, phone number, and email details to be included in the members' interest list and supplied to any member of the Association who would like to contact me regarding having the same interest and/or researching the same ancestor/s. No contact details will be given to any person or organisation who is not a member of the Hobart Town (1804) First Settlers Association Inc.

Has the annual subscription of $30.00 AUD been made? Refer to Payment page.

Yes payment has been transferred to HTFS Westpac account. No subscription payment made yet.

Payment of the $30 subscription now assists the membership registration process.

How did you hear of us?

In submitting this application for membership, I declare that to the best of my knowledge, all information given is correct.