INDIVIDUAL or FAMILY MEMBERSHIP FORM

Memberships are for one year Jan 1 – Dec 31

 

Sunday, January 13, 2008 – CCK - WebMaster

Submission Instructions

• Print this form.
• Fill in all blanks.
• Mail this form and a check for the membership fee, made payable to "Montana State Genealogical Society," to:
• Mary Pitch, Registrar, 700 Grant, Helena, MT 59601
• If you have questions, please contact Mary Pitch at: mailto:[email protected]

The Form

Name: _______________________________________________________

Street Address: ________________________________________________

City:________________________ State: ________ Zip Code: ___________

Phone Number: ( ____ ) ______________________

E-Mail: ___________________________________

Check One: _____ Individual/$10.00 _____ Family/$15.00

Check Amount: __________ Check Number: ___________