Contra Costa County Genealogical Society
Membership Application/Renewal
Membership year is the calendar year (January to December). Members paid by February 1st may vote that year (Board elections, etc.) and will be included in the Membership Directory published in May. Membership includes 11issues of the Diablo Descendants Newsletter (No meeting or newsletter in August).
Date: ____________________Membership Category: [ ] Individual $20 [ ] Family $30 [ ] Library / Society $_____
I am: [ ] A new member [ ] Renewing my Membership
Additional Donations: [ ] Books/Media $ ______ [ ] Other $_____
Please PRINT the following information:
Name:_____________________________________________________
Membership Year 20__
Address:_______________________________________________________________________
City:______________________________ State: ___ Zip:
_____-_____ Other Phone: ( ___ ) ___ - ______________
Home Phone: ( ___ ) ___ - ______________
E-Mail:____________________________________________________________________
Surnames Being Researched (no limit for web page)
Format: Name, Location, time frame (i.e., Smith (Eng, NY, TX)1850-1920
1: 2:
3: 4:
I grant permission to post my Surnames on the CCCGS website: [ ] Yes [ ] No
If Yes, your email as provided above will be listed on the website as a means to contact you.
Meetings
Meetings are held on the second Thursday of every month at 7:00 p.m. at the Concord LDS Church, 1360 Alberta Way., Concord, CA.
How did you find us: [ ] word of mouth [ ] Library [ ] Newspaper [ ] Internet [ ] Other:_____________
When Complete, please mail to:
Contra Costa County Genealogical Society
P.O. Box 910
Concord, CA 94522-0910