Name ________________________________________Maiden Name _______________________
Address _________________________________________________________________________
City _______________________________________ State _______ Zip+4 ____________________
Email ____________________________________________________________________________
Phone ___________________________________________________________________________
Surnames being researched: ___________________________________________________________
________________________________________________________________________________
Individual/Family -- $25.00 Patron -- $35.00 Life -- $300.00 Institutional -- $25.00
Payment must be made in U. S. dollars - money order or
check.
Membership year January 1 thru December 31; Dues delinquent January
31.
Membership includes current year of STALKER (Quarterly) with newsletter.
Volunteers are always appreciated.
If you would like to work on a specific project, please let us
know
________________________________________________________________________________
________________________________________________________________________________