Membership Application
- New Membership
- Renewal Membership(s) #________
#________
Name _____________________________________________________________________________________
Address ___________________________________________________________________________________
City _________________________ Province/State __________________ Postal/ Zip Code _____________
Home Phone (_____)___________________ E-mail _____________________________________________
Date _______________________________
Membership fees:
- Individual Membership $20 annually.
- Family Membership $25.
- Membership
$ ___________
- Donation $
___________ (Registered Canadian Charity #
86284 0014 RR 0001)
- Total Cheque/Money Order $
__________
Non Canadian members are requested
to submit in US funds to cover increased postage and handling costs.
Please make your cheque or money order payable to Bruce County Genealogical Society,
and mail, attention of the Membership Secretary.
Mailing address: BCGS-Membership, P.O. Box 1083, Port Elgin, ON, N0H 2C0, Canada. |