Please complete the form below. Begin by clicking the appropriate box indicating whether this is a new application or a renewal. Use your tab key to move to the next field to be completed.

When you have completed the form, print two (2) copies. Return one copy of the completed form, along with your membership dues, to the Zion Genealogical Society at the address listed on the form below. Retain the second completed copy for your records.


MEMBERSHIP
APPLICATION / RENEWAL

   ZION GENEALOGICAL SOCIETY
a 501(c)(3) charitable organization


      APPLICATION         RENEWAL                                                DATE:

 

Name of Member(s)

 

 

Address

 

 

City

State/Province

 

 

ZIP/Postal Code

Phone

( )   -

 

 

E-mail Address

 

 


MEMBERSHIP LEVEL
(Check desired level below)

 

 

$15 Individual
Online newsletter

$18 Individual
Paper newsletter

$150 Lifetime
Individual or Family
(Choose newsletter preference below)

 

$18 - Family
Online newsletter

$21 - Family
Paper newsletter

Online newsletter

Paper newsletter

Return this form with your membership dues to

Zion Genealogical Society c/o Zion-Benton Library, 2400 Gabriel Avenue, Zion, IL 60099

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