PINELLAS GENEALOGY SOCIETY

MEMBERSHIP APPLICATION - Please Print

 

         Dues are $17.00 per annum/individual or $25.00 per annum/dual membership (2 individuals same address)

(Dual memberships receive only one subscription to The Pinellas Genealogist)

         Applications between July 1st and October 30th are $8.50/individual or $12.50/dual.

(Dual memberships receive only one subscription to The Pinellas Genealogist)

         Application after November 1st will be credited as dues for the coming year; receive all membership benefits in November or December of the year joined.

(Applicant will not be eligible to receive the final quarterly issue of The Pinellas Genealogist)

 

Date of Application _______________________ For Calendar Year ______________________________

 

Name _______________________________ address ___________________________________________

 

City ________________________________ State __________________ zip ________________________

 

PHONE NUMBER_________________________________________________________________
 

SUMMER ADDRESS (If Different) ______________________________________________________

 

E-mail

Address ___________________________________________________ Publish IN Quarterly?        Yes  NO

 

 

Surnames researching (Limit Five)

locality & Dates

Publish?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Members may submit two free queries (per issue) of the Pinellas Genealogist - Enclosed


Permission to publish surnames?  
      YES            NO   Permission to publish pedigree chart(s)        YES           NO
 

Submission Deadlines for Pinellas Genealogist:

February 1st

Spring Issue

August 1st

Fall Issue

May 1st

Summer Issue

November 1st

Winter Issue

 

Please make checks payable: Pinellas Genealogy Society

 

Mail Application to:

 

Pinellas Genealogy Society

c/o Largo Library                                                         _____________________________________________________

120 Central Park Drive                                                       Member Signature

Largo, FL 33771-2110

 

PGS use only:

 Received by ____________Date ____________Check No. ____________Membership No.______________