Membership App.

Membership Application

PLEASE PRINT, FILL OUT LEGIBLY, AND MAIL THIS FORM TO:
Fresno Co. Genealogical Society
PO Box 1429
Fresno, CA 93716-1429
C/O REGISTRAR

Contact Information Name: ________________________________________________ Date: ________________
Spouse's given name: ______________________ Maiden name: ______________________
Mailing address: ______________________________________________________________
City: ________________________ State: _________ Zip code: ___________ - __________
Ph. #: (____) ______ - ________, ext. ______ E-mail: ______________________________
Membership Information Individual annual membership =    $20                Single Lifetime membership     =   $225
Family annual membership       =    $25                Family Lifetime membership    =   $250

[ ] I enclose $ _______ for an annual membership (due Jan 1 each year) or
[ ] $ _______ for a lifetime membership.
This is a [ ] new [ ] renewal [ ] reinstated [#_____] membership.
[ ] I will pick up my membership card at the next Society general meeting, or
[ ] I have enclosed a self-addressed and stamped envelope.
Background Information
Please help us serve you better by answering the following questions: Y    N
[ ] [ ] Have you ever belonged to a genealogical society?
[ ] [ ] Have you written a family history book?
[ ] [ ] Have you done research at our FCGS library?
[ ] [ ] Are you familiar with the LDS Family History Centers?
[ ] [ ] Do you own a computer?
[ ] [ ] Do you use a genealogy software program?
           If so, which one?    [ ] PAF   [ ] Family Tree Maker
           [ ] Family Origins   [ ] Roots   [ ] Other _________________________
[ ] [ ] Are you interested in participating in FCGS projects/committees?
I consider myself a     [ ] beginner     [ ] intermediate     [ ] advanced   genealogist.

SURNAMES FORM

PLEASE PRINT, FILL OUT LEGIBLY, AND MAIL THIS FORM WITH THE MEMBERSHIP APP.

Contact Information Name: _________________________________________________ Date: _______________
(include maiden name, if relevant)
Mailing address: ______________________________________________________________
City: ________________________ State: ___________ Zip code: __________ - _________
Ph. #: (_______) ______ - _________, ext. _____ E-mail: ___________________________

Surname Information
Please share with us the surnames and areas you are researching.
You may use the back of this page to continue listing your surname data.

The information on these pages may be made available to the public in FCGS publications in order to facilitate family connections

SURNAME Location: City, County, State, Country Years

____________________ __________________________________________ ______ - ______

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