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Membership - $5.00 Single_____
A membership is from September 1 through August 31 each year

_______New   _______Renewal   _______Change Of Address

 _______Membership Card Requested (Include SASE)          _______Membership Card Not Necessary

           On your right                                                            ____Yes ____No   My Name
        Please check the item(s)                                              ____Yes ____No   My Address
        you give us permission                                                 ____Yes ____No  My Telephone Number
       to publish on any our                                                    ____Yes ____No  My Surnames
        SCGS Web Page.                                                      ____Yes ____No  My E-Mail Address
                                                                                           ____Yes ____No  My Home Page Address

PLEASE SIGN __________________________________________DATE_____________________

(Please Print) NAME____________________________________________________PHONE(____)__________



Email address_________________________________________________________________

Home page address____________________________________________________________

PLEASE LIST YOUR surnames.   If you and YOUR spouse are both searching, please list the surnames for each of you.

(Please use the back of this sheet if needed__________________________  __________________________    __________________________  __________________________  ____________________________  __________________________  __________________________ ____________________________

The society is organized exclusively for charitable, educational and scientific purposes as outlined in Section 501 (C) (3) of the Internal Revenue Code of 1954.  SCGS meetings are held on the third Wednesday of each month of the year except June ,July, and August at the T or C Library, at 325 Library Lane., Truth or Consequences, NM 87901. Meetings start at 2:00 pm. 

        Send your completed Member Application and a check made payable to SCGS to: 

   Sierra County Genealogical Society                                                                        How did you hear about us? 

   325 Library Lane                                                                      A Friend?___  The Web?___  Newspaper Ad?___ 

   Truth or Consequences, NM 87901                                          Brochure? ___ Society member?___  Other? _____