MANORIAL SOCIETY OF GREAT BRITAIN
104 Kennington Road, London SE11 6RE
Tel: 0207 735 6633 / Fax: 0207 582 7022

International: 44 - 207

Founded 1906

Lords of the Manor and Barons in the British Isles
To be completed by you . Please print off this form and send to the Manorial Society at the above address.

Volume i of a printed publication of and for Members of the Society
(please print in capital letters or type)

Your Biographical Form

Your Head of Entry

Surname:

Forenames:

Your date of birth:

Your father's forenames:

Date of death (year):

Anything you wish to record about your father*:

Your mother's forenames and maiden name:

Date of death (year):

Anything you wish to record about your mother*:

Spouse's maiden name:

Spouse's forenames:

Partner's surname:

Partner's forenames:

Anything you wish to record about your spouse/partner*:

Your children:

Anything you wish to record about your children*

Your siblings:

Your education and educational qualifications:

Your professional life:

Honours:

Clubs and professional organizations:

Interests:

Lordship (or Barony)**:

Address: c/o The Manorial Society of Great Britain

* eg educational, professional qualifications, honours

** If you hold more than one Lordship, please start with the most important to you as this will be your Head of Entry

Please enclose a face picture of yourself in colour and send it to us. If this can be done digitally, please send it to us by email to manorial@msgb.co.uk, which is much easier for us to use. Otherwise, send a print, which we can scan.

If you have a Coat of Arms, please send us a black and white line drawing (not colour)

Lords of the Manor and Barons in the British Isles

I am pleased to contribute to vol i of Lords of the Manor and Barons and enclose or attach (if by email scan) my Biographical Form and colour face picture.

I am also pleased to support this publication with a subscription of £199.00 for a copy of the Edition, which will be published in the summer of 2009 (plus postage & packing, including a slip-case for better preservation of the book). Book and slip-case will be in crimson hard covers and case, the spines of each printed in gold for identification on the bookshelf. Paper will be 110msg art gloss.

If you do not wish to use your address, by all means put 'c/o The Manorial Society of Great Britain').

I enclose my cheque/credit card (Amex, MasterCard, Visa, debit*) (please delete as appropriate)

Name on card:___________________________________________

Card number:____________________________________________

Expiry date:____________________

Start date*:_____________________

Issue number*:__________________

Last three security digits on back:_______

We need your biographical form, a picture of yourself, and Arms by no later than 31 May 2009. Any information received after this date will not be included, as this book will be in alphabetical order of head of entry ( eg "Smith of Tonbridge" ), and we cannot go back into the pagination of the book to insert a late entry in its alphabetical place. It is simply not practical and we want the book published by the end of June. There will also be two indexes of surnames and titles at the back, so by surname: "Smith, R A, see Smith of Tonbridge", and by title, "Tonbridge, see Smith of Tonbridge".