Date: _____________________
Name: __________________________________ Phone: ____________________
Street Address: _____________________________________________________
City: _____________________ State: _________ Zip: _______________
Email Address: _______________________________________________
Membership: Individual $20.00, Family $20.00 or Organizations $25.00
Research: $____________ Quarterly: $___________ Books: $____________ Donation: $____________ Memorial: $____________ Honorarium: $____________
TOTAL: $____________
Do you wish your name, email address, and surnames list to be posted on the MGS Website? Yes ___ No ____
If so, please enter the following information:Name: __________________________________________________________________________
Email address: ____________________________________________________________________
Surname List: ____________________________________________________________________
Please mail this form, along with your check or money order, to:
Montgomery Genealogical Society, Inc. (MGS)
PO Box 230194
Montgomery, AL 36123-0194
Surnames attached: ____________
Back to the Montgomery Genealogical Society, Inc.'s Homepage