Membership Form
GENEALOGICAL
RESEARCH INSTITUTE OF VIRGINIA
POST OFFICE BOX 29178
RICHMOND, VA
23242-017
8
DUES
Annual dues (July 1 - June 30) are $15 per
member or institution, $20 per couple.
Friends of GRIVA - $25.00
President's Club - $50.00
GRIVA is a non-profit, educational organization. All contributions in excess
of annual dues are tax deductible under IRS 501 (c)
(3).
Please type or print clearly.
Amount enclosed $____________
Please make checks payable to GRIVA.
Name of Member(s)
___________________________________________________________
Address
___________________________________________________________________
City/State/Zip + four
___________________________________________________________
Telephone No. ( ____ ) _________________ E-Mail Address
_______________________________
GRIVA distributes a yearly surname listing. Surnames from new members are listed in
the quarterly newsletter. Each member may list 8 surnames.
SURNAME/TIME FRAME/LOCATION
1.____________________________________________________________________________________
2.____________________________________________________________________________________
3.____________________________________________________________________________________
4.____________________________________________________________________________________
5.____________________________________________________________________________________
6.____________________________________________________________________________________
7.____________________________________________________________________________________
8.____________________________________________________________________________________
If you are willing to help with any volunteer work that has to be done to keep GRIVA
strong and alive, please indicate below:
______________________________________________________________________
______________________________________________________________________
List suggestions for GRIVA that you may have:
______________________________________________________________________
______________________________________________________________________