Those Vowels'.
Before the 19th century most Greethams in the UK wouldn't have a clue how their name was spelt. On those occasions when their name was written down, perhaps in a parish register, it was up to the vicar or curate to write the name out best they could. Many of the clergy would be aware of the spelling of the village in Lincolnshire and would spell it correctly, others would spell it as they thought they heard it.
When the 'E' is prounced 'ehh', then 'GRETHAM' is an obvious spelling. In many cased the 'H' is missed out in the pronunciation leading to 'GRETAM'. Another shift in the vowel leads to the 'A' being pronounced as a 'U', thus I have come across, GREETUM', 'GRETUM' and even 'GHRETUM'.
The first set of vowels can lead to some classic spellings and pronunciations. A longer 'eh' sound can lead to 'GREER-TAM' or with an 'ay' sound simply 'GREAT-HAM'. In some parts of the UK long 'ee' sounds are avoided and that can produce a sharp 'eh' or even an 'i' sound. Thus you will find 'GRET-UM' and 'GRITTAM'.
I have come also across a cockney 'GREIFAM', a Lancastrian 'GREET-HUM', and a Dutch 'GRETAAM'. Perhaps the most unusual form is from a Greetham who lives in Japan where it is neccasary to conform to their somewhat restricted pronunciation sounds, and is reproduced using the Japanese symbols . . .
 and is rendered 'GU-RII-TA-MU'.
Can you add to my list or have interesting ways 'Greetham' has been spelt? Then email me by clicking here 
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