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2010 Membership Application
Membership is Jan. 1 through Dec. 31
Dues are payable in November and past due March 31, 2010

New Membership                                 Renewal
 Individual $17.50  Family $22.50

Benefactor $50.00 or more

Today's Date

  

 Name

  

 Address

 

 City, State, & Zip

  

  Home Phone #

  

 E-Mail Address

 
Birthdate  
Occupation  

Providing us with the following information will help PCGS meet all of its members' needs and interests.  Please attach a separate sheet of paper if you need more room.
List the surnames you are currently researching and give a locality, such as township/county/parish, state/country, etc.   Please submit your ancestor charts and family group sheets.  These are kept on file at the Frontier Heritage Library for all patrons to use, so make certain your name and address are on each sheet.  If you needs forms, contact PCGS.
 
 
 

What can PCGS do to help you get the most from your membership?
 
 

Please print this form, fill in the information and send it along with a check or money order made out to the PCGS and mail to:

PCGS
P.O. Box 394
Council Bluffs, IA 51502-0394