WAVERLY GENEALOGICAL & HISTORICAL SOCIETY
MEMBERSHIP APPLICATION
Includes Newsletter printed four times a year.
Dues must be paid by December 1 to receive the January issue.
Print this membership application and mail to:
Shirley A. Aleguas
195 E. Elm
Waverly, IL 62692-1111
| NON Charter Member | $7.00 | ________ |
| NON Charter Couple | $9.00 | ________ |
| NON Charter Family Membership | $12.00 | ________ |
| TOTAL | ________ | |
- Make Checks payable to WAVERLY GENEALOGICAL & HISTORICAL SOCIETY
Date____________________
Mr. _________________________________ Miss ________________________________
Mrs. ________________________________ Maiden Name _________________________
Mrs. & Mrs. __________________________
Address: ____________________________ City: ________________________________
Telephone: __________________________ State: _______________ Zip Code: ________
List the Surnames you researching: _________________________________________________________________________
_________________________________________________________________________
