MEMBERSHIP FORM
NEVADA
COUNTY GENEALOGICAL SOCIETY
P.O.
Box 176, Cedar
Ridge, CA 95924
Name:
___________________________________________________________
First
Middle
Last
___________________________________________________________
Spouse’s Name
Mailing
Address:
___________________________________________________________
Street
___________________________________________________________
City
State
Zip Code
Telephone:
___________________________________________________________
Day
(Please include Area Code)
Evening
E-Mail: ____________________________________________________________
| Membership, Individual or Family: $15.00* | $______________ |
| Additional Contribution: | $______________ |
| Total Enclosed: | $______________ |
Make
checks payable to Nevada County Genealogical Society
Mail to: P.O.
Box 176, Cedar Ridge, CA 95924
Please send us a list of the names you are researching along with the states/countries and approximate time periods involved.
Membership dues are based on a one year period beginning January 1, and ending December 31. Renewals are due by the end of January, annually. Membership dues are $15.oo per year.
| SURNAME, (Given Name Opt.) | LOCALITY (Smallest to Largest) | TIME PERIOD |
| Ex.: CALVERT | Fort Smith, Sebastian, Arkansas | 1846-1890 |
*See chart below for partial year memberships.
| If you join in: January | Membership is:$15 |
| February | $13.75 |
| March | $12.50 |
| April | $11.25 |
| May | $10.00 |
| June | $8.75 |
| July | $7.50 |
| August | $6.25 |
| September | $5.00 |
| October | $3.75 |
| November or December | $2.50 |
Note: to print the registration form WITHOUT printing the membership fee chart, just print page 1.