Northwest Missouri Genealogical Society

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MEMBER APPLICATION

Below is the information you will need to send along with a check or money order for $15.00, $20.00 or $25.00 depending on where you live - see membership page for details. (The annual membership is on a calendar year basis.) Hit print button to print this web page, complete our form manually , send the form, and check or money order to address below.
Our form can not be sent e-mail as we do not have a secure site to receive money.

Membership

____ New ____ Renewal ___ Change of Address

If renewal or change of address, Member #________________

Please print

NAME ________________________________________

ADDRESS ____________________________________

CITY _________________________________________

STATE and ZIP _________________________________

PHONE _______________________________________

E-MAIL ADDRESS (optional) ______________________________________________

WEB PAGE ADDRESS (optional) http://______________________________________

Members may submit surnames, timeframe, location, NWMGS member name and member number to Sharlene Miller and the information will be included on our website. Click here to see examples of surnames website.

Please include your pedigree charts for our records.

Send by US mail
(1) Completed form;
(2) check or money order for $15.00 payable to "Northwest Missouri Genealogical Society" to:

Northwest Missouri Genealogical Society Membership
PO BOX 382
St Joseph, MO 64502

Telephone Number:
(816) 233-0524

REMINDERS:

If you want a membership card returned to you, please remember to enclose
a Self Addressed Stamped Envelope (SASE).

Please notify us promptly of address changes. It keeps our postage costs down and helps you to continue receiving our newsletter and journal without interruption.

We invite your active participation!

OFFICE USE ONLY:

Amount Rec'd ________________	Date Rec'd ________________
Receipt Number ______________	Recorded by _______________

	NWMGS Established in April 1979 - 412 Felix Street, St. Joseph, Missouri
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	Page last update: 11/21/2004

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