Membership Application
German Genealogy Group
Date: __________________New Member _____ Renewal _____ Gift from _________________________________
Name: __________________________________________________________________________________________________
(Last) (First) (MI) (Please print plainly)
Address Street___________________________________________________________________________________________
City____________________________________State_________Zip______________________
Telephone:(_______)__________________________Email:__________________________________________________
| Dues: $15.00 for 12 months |
Please make check payable to:
|
| $25.00 foreign for postal mail newsletter |
Mail to: Donald Eckerle |
| $15.00 foreign for email newsletter | |
| Library Donation $ _________ | |
| Recommended by: ______________________________________ | |
*Your name and state will be published in the New Member section of our newsletter unless we are requested to omit.*