Western Montana Genealogical Society

MEMBERSHIP FORM

Submission Instructions:

Name:

Address:

City:

State:

Zip Code:

E-Mail:

Phone No.:                                                                             Date:                                              

 

Newsletter DeliveryPreference:

       Printed Only_______    E-Mail Only _______  Printed & E-Mail ________

Surnames of Interest:                                   Location:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check One: _____ Single Membership/$11.00 _____ Family Membership/$13.00

Check Amount: __________ Check Number: ___________