Westchester County Genealogical Society Membership Application
Westchester County Genealogical Society
Incorporated 1991 / Founded 1982
P. O. Box 518
White Plains, New York, 10603-0518
NAME: __________________________________________________________________
ADDRESS: __________________________________________________________________
CITY: ____________________________ STATE: ____________ ZIP: ____________
PHONE: (____) _____________________ CELL PHONE: (_____) _________________
EMAIL ADDRESS: ____________________________________________________________
PUBLISH IN MEMBER LIST:
| Address: ___ Yes ___ No |
Phone: ___ Yes ___ No |
Email: ___ Yes ___ No
|
HOW DO YOU WANT TO RECEIVE THE MONTHLY NEWSLETTER?
| EMAIL ONLY: ______ |
REGULAR MAIL(Surcharge will be applied): ______ |
Please provide us with the following information:
Countries of genealogical interest: _______________________________________
___________________________________________________________________________
U. S. states of genealogical interest: ____________________________________
___________________________________________________________________________
Topics of genealogical interest: __________________________________________
___________________________________________________________________________
Other genealogical society membership(s): ________________________________
___________________________________________________________________________
List up to five (5) surnames currently being researched: (To be published in WCGS newsletter.)
___________________________________________________________________________
Check (
) committee(s) of interest:
| ___ Programs |
___ Publicity
|
___ Hospitality |
| ___ Newsletter |
___ Membership |
___ Finance
|
Check () (Payable in U.S. dollars)
| ___ General $25 |
___ Surcharge $10 (for newsletter by postal mail) |
___ Student $10 (under 21 years) |
___ Institutional $30
|
SIGNATURE: ________________________________________ DATE:__________________
Membership Application & Information Sheet
|
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