Membership Information
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Redford, Michigan
48240-9175
New
Membership Application Form
RTHGS Membership year is from June 1 through May 31 (After March,
applies to following year)
PLEASE MAKE ALL CHECKS PAYABLE TO:
SOCIETY DUES: Individual $15.00 ____ Family $18.00 _______
(Please Print)
NAME:
____________________________________________________________________________
E-MAIL:
___________________________________________________________________________
STREET ADDRESS: _________________________________________________________________
CITY:
______________________________________, STATE: ________, ZIP:
___________________
TELEPHONES (H)
________________________________ (W) _______________________________
Genealogy
Computer Program:_________________________________________________________
SEASONAL ADDRESS: ______________________________________________________________
MONTHS:
______________ THROUGH: ______________
SURNAMES being researched: (if more space is needed, please use back of this
sheet)
Surname
Country
States/Locations Dates
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Your Signature:
__________________________________________________________________________________________
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For Membership
Chairman Only Date
Received: ________________________ at mtg. or by mail Cash
or Check # ____________, Amount Received: $_______, Membership # ______ New
Membership Package Delivered _____________
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