Note: no research will commence until payment of $25.00 per surname has been received
Print & mail this form with a cheque for $25.00 per surname or topic to
Gisborne & Mount Macedon Districts Historical Society Inc. 4 Hamilton Street Gisborne Victoria 3437
Or copy and paste the form to a word document & email to: firstname.lastname@example.org
And pay by direct deposit to Westpac Bank BSB 033 624 Account Number 41 24 77 and advise that your payment has been made and the reference you have used.
ABN 82 893 878 458 Inc. No. A 0027147L request the Gisborne & Mount Macedon Districts Historical Society to research on my behalf. No research will commence until payment of $25.00 per surname has been received.
* When applicable