LIBRARY/INSTITUTION MEMBERSHIP FORM
Revised: Monday, October 27, 2008 (corrected payment
details)
Library & Institution Membership Annual Dues of $10.00 are to be paid by January 1st of each year. Please include the name of the contact person for your Society.
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,
- If you have questions, please contact Mary Pitch - Registrar.
The Form:
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Date: _____________________________
APPLICATION FOR SOCIETY MEMBERSHIP WITH MONTANA STATE
(Memberships
run from January 1st though December 31st annually, and
dues are $10.00)
Library/Institution: _________________________________________________
Street Address: ________________________________________________
City:
Contact Person: _____________________________
Phone Number: (____ ) ______________________
E-Mail: ___________________________________
Check Amount: __________ Check Number: ___________
