SCCFHG, Inc MEMBERSHIP - SUBSCRIPTION FORM

Name: _______________________________________________________________________________

First / Middle Initial / Last ( Maiden Name)

Address: _____________________________________________________________________________

City: ___________________________________ State / Province: ________ Zip Code: ___________

List Family Surnames being researched: _____________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Please include this form and payment in U.S. funds. Make your check payable to:

St. Clair County Family History Group, Inc.

Box 611483

Port Huron, MI 48061-1483