PRINT THIS PAGE, COMPLETE THE VARIOUS SECTIONS, AND SEND WITH YOUR REGISTRATION FEE
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C.M.I.A.R.   Application Form to Register a Memorial Inscription Archive           www.cmiar.co.uk
The Registration fee is 12.00 GBPounds. Send your cheque, which must be payable at an English bank, with this Form to the the address below. If sending cash see the options listed below.
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Circle the Type of archive you intend to compile:   Clan     Church     Cemetery     Civic
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Print the Name of the Clan/Church/Cemetery/Civic (maximum 50 characters including any spaces). Do not print all characters in upper case.
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Editor (Applicant) Name (maximum 50 characters including spaces)
For Clans, the Editor's name must include at least one forename and a surname (family name). Mr Ms or other title is optional.
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Postal Address of Editor/Applicant ____________________________________________________________________
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PostCode/ZipCode:_____________________________    Country:________________________________

ALL THE ABOVE DATA IS ESSENTIAL TO ENABLE COASTAL RESEARCH TO ISSUE AN AUTHORISATION CODE.

The following data is optional, but if provided, it will be held in our database.
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e-mail address: __________________________________________    Telephone Number: _____________________________

On receipt of this form and the correct Registration Fee an Authorisation Code will be sent to the Editor's Postal Address.
Sending a Cheque
Make the cheque payable to COASTAL RESEARCH
The amount must be in Sterling (GBPounds) and the cheque must be payable at an English Bank.

Sending Cash
Bank charges for depositing foreign cheques are greater than the CMIAR fees. This is why we can only accept Sterling cheques (GBPounds) payable at an English Bank. If you choose to send cash please follow the options listed below.
  12 GB Pounds   20 Euro   20 US Dollars   20 Canadian Dollars   25 Australian Dollars   25 New Zealand Dollars
We have no facilities for electronic transfer of fees.

Send this Application and Registration Fee to:
   COASTAL RESEARCH, Tamarisks, Waresfoot Drive, Crediton, EX17 2DG, England

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