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1st Name: ___________________________________________ First Last Maiden 2nd Name: ___________________________________________ First Last Maiden Street Address / PO Box: __________________________________ City: _____________________ State: ____ Zip: __________ Home Phone: (____) _______________ E-Mail Address: ______________________________________ Personal Web Page Address: ______________________________ Membership: Please check one (after Sep 30 full-year includes remainder) ( of current year plus full following year.. ) Individual ($16) ___ Family ($24) ___ Life ($200) ___ Individual ($8) ___ Family ($12) ___ (1/2 year Jul 1-Dec 31) If using PayPal for
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use the PayPal link below to complete payment, then
e-mail the information requested on the membership form to; vcgspayments@verizon.net . RESEARCHING - (up to 8 surnames may be listed) Surnames: Areas - States / Countries ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ |
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