|
|
|
|
|
|
MEMBERSHIP APPLICATION and RENEWAL FORM
PLEASE PRINT LEGIBLY:
NAME: |
DATE: |
ADDRESS: |
CITY: |
STATE: |
ZIPCODE +4: |
COUNTRY: |
HOME PHONE: |
E-MAIL ADDRESS (mandatory for foreign memberships): |
SURNAMES BEING RESEARCHED (maximum 6) each spelling variation counts as one name |
|
|
|
|
|
|
Make check payable in U.S. funds to: CHICAGO GENEALOGICAL SOCIETY Mail with this form to: Chicago Genealogical Society, P.O. Box 1160, Chicago, IL 60690-1160
Please send separate checks for Publications, Pioneer Certificates, and other services.
FOR OFFICE USE ONLY
Date Rcvd |
Member# |
Amt Rcvd |
Expiration |
Check# |
Entered |
This page was updated 04/15/04.
Thank you for stopping by!
©2002-2004 Chicago Genealogical Society
|
|
|