Polk County Genealogical Society, Inc. Membership Application
Name:____________________________________________________________________________
Address:__________________________________________________________________________
City:_____________________________________________ State:___________________________
Zipcode:_______________________ Phone:_____________________________________________
Email:____________________________________________________________________________
Type of membership: (please check one) INDIVIDUAL __________ FAMILY (2 votes) ___________
New member? (please check) _______ Add $5.00 to total amount 1 year ________ 3 years ________
TOTAL AMOUNT ENCLOSED: $________________________
Please make checks payable to: PCGS Inc.
or Polk County Genealogical Society, Inc.
Mail to the following address: PCGS, PO Box 632, Bolivar,
MO 65613-0632
Current members
of PCGS, 1 year membership:
INDIVIDUAL MEMBERSHIP----------$15.00
FAMILY MEMBERSHIP (2 votes)-----$20.00
Current members of PCGS, 3 year membership:
INDIVIDUAL MEMBERSHIP----------$45.00
FAMILY MEMBERSHIP (2 votes)-----$60.00
New members joining January 1-October 15, 1
year membership:
INDIVIDUAL MEMBERSHIP-------$15.00 + $5.00 = $20.00
FAMILY MEMBERSHIP (2 votes)--$20.00 + $5.00 = $25.00
New members joining October 15-December 31,
1 year membership:
Pay full price for the next year and get
2 months' free membership in current year
INDIVIDUAL MEMBERSHIP-------$15.00 + $5.00 = $20.00
FAMILY MEMBERSHIP (2 votes)--$20.00 + $5.00 = $25.00
New members joining January 1-October 15, 3
year membership:
INDIVIDUAL MEMBERSHIP-------$45.00 + $5.00 = $50.00
FAMILY MEMBERSHIP (2 votes)--$60.00 + $5.00 = $65.00
New members joining October 15-December 31,
3 year membership:
Pay full price for the next year and get
2 months' free membership in current year
INDIVIDUAL MEMBERSHIP-------$45.00 + $5.00 = $50.00
FAMILY MEMBERSHIP (2 votes)--$60.00 + $5.00 = $65.00
Please contact PCGS at info@pcgsmo.com
for more information or
with questions.
Go back to PCGS Home Page