Membership Form

Emmet County Genealogical Society

2010 - 2011 Membership Form

Membership Year Runs July 1 through June 30

Name: _________________________________________________________________________

Address: _______________________________________________________________________

City: ________________________________________ State: ________ Zip: _______________

Phone #: _______________________________________________________________________

Email Address: __________________________________________________________________

Webpage Address: _______________________________________________________________

Single ($10.00) ________ Couple ($12.00) ________

Surnames I'm researching:

Surname ________________________ Dates: _______to_______ Location:_________________________

Surname ________________________ Dates: _______to_______ Location: _________________________

Today's Date ____________________

To join the E.C.G.S., please print, complete, and bring this form to the next monthly meeting or mail with the
annual membership dues of $10.00 (single) $12.00 (couple) made payable to the:
Emmet County Genealogical Society / P.O. Box 2476 / Petoskey, Michigan 49770.

If you have other questions about the E.C.G.S., contact President Donna Johnson.

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