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Online Membership Application

Annual dues are $18 for an Individual membership and $25 for a Family membership.
A Family membership is for two adults in the same household.

Questions 1 thru 7 need to be answered. The remaining ones are optional.

1. Name *

First

Last

- IF For a Family Membership, Enter 2nd Adult Name in the Same Household. *

First

Last

2. Address *

Line 1

Line 2

City

State

Zip Code

Country

3. Phone Number *

Optional 2nd Phone Number *

4. Email Address *

Optional 2nd Email Address *

6. I would like to have a mentor assist me: *

Yes No

7. How did you hear about us? If it was a member, please tell us their name. *

8.. Other Genealogical Societies I belong to: *

Connect with members with doing similar research
The following info., while not required, may be very useful for collaborating with members on our website (those who have password access to see it).

9. Location #1 where I am researching *

10. Surnames I'm researching in location #1 *

11. Location #2 where I am researching *

12. Surnames I'm researching in location #2 *

13. Location #3 where I am researching *

14. Surnames I'm researching in location #3 *

Please check your information -- The next page sets up your method of payment.

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