2012 Janet Reakes Memorial Award Entry Form

 

Title (please circle)    Dr   /   Revd   /   Mr   /    Mrs   /   Miss   /   Ms

Surname

Given name/s

Qualifications (none required, but if you have a DipFHS, DipLAH or BA please state)

 

Street / PO Box

Suburb / City / Town
State                                               Postcode                             Country

Email

Title of Article       Tracing my favourite ancestor in Australia -- 

 

Number of Words                                                               Number of pages

 

I have read the Terms of Entry and declare that the attached entry is my own work.

I also acknowledge and agree that if my entry is judged one of the three winning entries, it will be published on the Janet Reakes Genealogy website at www.janetreakesgenealogy.com

 

Signature  ___________________________                Date   _______________

 

 

Please complete this Entry Form and send it with your article to

2012 Janet Reakes Memorial Award

c/- Australian Family Tree Connections

PO Box 322

Gosford NSW 2250

Australia