DeKalb County Indiana Genealogy Society Membership Form

Date: ________________________________


I am a NEW member ____________________
I am already a member __________________
Dues for year: _________________________
Membership renewal: ____________________
DCIGS yearly memberships are January through December. Membership fees are due by February 15.
Amount Enclosed: ______$10.00 Single Membership ______$15.00 Family Membership (One Address)

Name:____________________________________________________________________ (Women-please include maiden name)
Address:_________________________________________________________________
City:____________________________________________
State:_________________ ZipCode:_________________
Telephone Number: (______)_______________________
Email Address:___________________________________

Volunteer your talents. List areas you would be interested in serving the Society. _________________________________________________________________________
DeKalb County Names I am researching:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

List any other surnames you am researching below:
Name - County - state
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

YES of NO (circle one)
I want my name, address, telephone number, e-mail, surnames, and family charts kept in an active file by the DeKalb County Indiana Genealogy Society so that the public can access and copy.

I would like to see the following types of articles in the Genealogy Newsletter:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Please mail your payment to:


DeKalb County Indiana Genealogy Society
Attention: Membership
P. O. Box 6085
Auburn, Indiana 46706