Membership Application
If you would like to join (or renew your membership in) The Downriver Genealogical
Society, please fill out the Application below and mail with a check or money order in the
amount of $15.00 (U.S. Funds) to: The Downriver Genealogical Society, P O Box 476, Lincoln
Park, MI 48146
Membership Application (please print) Date______________________
Name (Last First)_____________________________________________
Maiden Name ________________________________________________
Street _______________________________________________________
City _________________________________ State __________________
Zip ______________- _______ Phone (______)______-_______________
E Mail Address: ______________________________________________
Home Page __________________________________________________
Please check: New Membership [ ] Renewal [ ] Membership # ____________
Surnames being researched: (please list four of The surnames you are researching)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
**************************************
Date Pd _____________ Ck No _______________ Cash _____________