Membership Application
Dues
Membership Year: October 1, 2010 - September 30, 2011
Individual: $10.00
Family: $15.00 [Family Membership will receive one copy of the newsletter]
Print this page, complete and return it with your dues payment to Penobscot County Genealogical Society, c/o Bangor Public Library, 145 Harlow Street, Bangor ME 04401
Name: ____________________________________________
Address [see note 1]: ____________________________________
City: _____________________ State: _______ Zip: _________
Phone Number: _____________________________________
E-Mail Address: _____________________________________
Surnames of Interest: _________________________________
__________________________________________________
__________________________________________________
Penobscot County Towns of Interest: ______________________
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Topics You Would Like to Learn More About: _______________
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Note 1: If you have a winter address, please let us know along with what dates you are there to insure you receive your newsletters.
Personal Information Provided on the Application is for the Official Use of Penobscot County Genealogical Society.
Society e-mail may include meeting reminders, notices of time-sensitive special genealogical offerings, and similar items.