Christian names Surname

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William and Sarah Head Family Inc.
Update of Family Information (Please print clearly)
Your Name....................................................................................................................................
Title
Christian Names
Surname
Postal Address ..............................................................................................................................
.............................................................................................................................
Email .............................................................................................................................................
Phone number /s ..........................................................................................................................
________________________________________________________________________________________
Notification of a Birth
Name of Child ................................................................................................................................
Christian names
Date of Birth ..............................................
Surname
Branch of Head Family ..........................................................
Name of Mother .......................................................................................................
Name of Father .........................................................................................................
Name of Grandparent on Family Tree ......................................................................
________________________________________________________________________________________
Notification of a Marriage
Name of Bride ..................................................................................................................................
Christian names
Surname
Name of Groom ................................................................................................................................
Christian names
Surname
Date of Wedding ................................................. Branch of Head Family .........................................
Name of Parent on Family Tree ......................................................................
Surname of Bride after marriage ......................................................................
________________________________________________________________________________________
Notification of a Death
Name of Deceased ..............................................................................................................................
Christian names
Date of Death .................................................
Surname
Branch of Head Family ........................................................
Name of parent on family tree ......................................................................
__________________________________________________________________________________________
I wish to have my notification printed in the next family newsletter
Please post at your earliest convenience to:
The Records Secretary
William and Sarah Head Family Tree
P.O.Box 275
Ashburton. 3147
YES / NO
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