GENEALOGY SOCIETY OF SOUTHERN ILLINOIS
MEMBERSHIP APPLICATION
GSSI membership is for the calendar year (Jan. 1 to Dec. 31).
YEAR: ____2011 ____2012 STATUS: ____New ____Renewal ____Rejoining
____Individual $25 or ____Household ( Two or more at same mailing address, $25 )
____Sustaining $35 or ____Supporting ( $50 or more )
Add $5.00 postage and handling for back issues of Saga and Newsletter if renewing after March 15, 2010.
Add extra $10 for international postage if mailing address is outside the United States.
Name(s)_____________________________________________________________________
Address_____________________________________________________________________
City__________________________________________ State________ Zip +4___________
E-mail_______________________________ Telephone _____________________________
Please check how you prefer to receive your GSSI Newsletters. _____Bulk rate postal mail _____On-line, with E-mail notification
Print and mail application with check payable to Genealogy Society
of Southern Illinois to:
Amount Enclosed: ___________
For the Newsletter, please list the surnames, time period, and counties or states you are searching:
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___________________________ ___________________________ ____________________________ ___________________________
Query to be published in the Newsletter:
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| Last update: February 13, 2011/font> |
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