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Membership Application                                                                       Society Use Only

(Effective Feb 2003)                                                                                          Membership: No._______________

                                                                                                                        Approval: Date_________________

 

mail to:

MOUSE RIVER LOOP GENEALOGICAL SOCIETY

Post Office Box 1391

Minot, North Dakota 58702-1391

 Please Print or Type:

Mr.)

Mrs.)_____________________________________________________________________________________

Ms.)          Last Name                   First                 Middle                         Maiden Name

 __________________________________________________________________________________________

                        Mailing Address

 __________________________________________________________________________________________

City or Town                                                 County

State__________________ Zip Code ___________________

 

Family, Individual, or Organization_________________________________

Telephone Number_________________________

____Membership: $15.00 per year, if you plan to pick up your newsletter at meetings. U.S. Funds Only.

____Total of $19.00 per year for membership & mailing of newsletter. U.S. Funds Only.

____$5.00 US Funds each year extra to a foreign address.

 

Email Address: ______________________

Family membership: _________________________________________________________________________

                                                                        Spouse’s Full Name

 

             Please fill out the pedigree chart as completely as possible and return with this form. Your membership also includes the North Central Genealogical Record published quarterly.  The Mouse River Loop  Genealogical Society meets the 1st Saturday of each month at 1:00 p.m. at the Minot Public Library Small Community Room.  Any memberships received after July 1 will be applied to the following year unless otherwise indicated.  Memberships run for the calendar year (Jan. 1st to Dec. 31st). Please identify the areas in genealogy, you are interested in participating:

 _____Vital Statistics for Old Newspapers         ______Cemetery Census                     _____Typing

_____Copying Court House Records               ______Archives Files                           _____Quarterly Publications

_____Census Indexing

 Committee Work:                                             _______Hospitality                              ______Circulation

______Certificates                                           _______Internet                                   ______Publicity

______Workshops                                          _______Ways and Means                    ______Telephone

______Archives                                               _______Queries                                  ______Programs

 

Do you have a computer?  _________. Software? ________________________________________

Are you working on a specific project related to genealogical research?  ____________

_______________________________________________________________________________________

       If you have any questions, please contact us.  Members who live in the Mouse River Loop area will do their best to help solve your North Dakota ancestry problems.  Any fees charged will be arranged between the parties corresponding, and will not be the responsibility of the Mouse River Loop Genealogical Society.  We are looking forward to working with you and for you.  Make your check or money order payable to: MRLGS.; P.O. Box 1391; Minot, North Dakota 58702-1391.  U.S. Funds, please!  When corresponding, always include a SASE ( self-addressed stamped envelope) for reply, and attach your pedigree chart. (See "Pedigree Chart" to print a blank.)
 

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