Westchester County Genealogical Society
Incorporated 1991 / Founded 1982
P. O. Box 518
White Plains, New York, 10603-0518
NAME: __________________________________________________________________
ADDRESS: __________________________________________________________________
CITY: ____________________________ STATE: ____________ ZIP: ____________
PHONE: (____) _____________________ CELL PHONE: (_____) _________________
EMAIL ADDRESS: ____________________________________________________________
PUBLISH IN MEMBER LIST:
| Address: ___ Yes ___ No |
Phone: ___ Yes ___ No |
Email: ___ Yes ___ No
|
HOW DO YOU WANT TO RECEIVE THE MONTHLY NEWSLETTER?
| REGULAR MAIL: ______ |
EMAIL ONLY: ______ |
Please provide us with the following information:
Countries of genealogical interest: _______________________________________
___________________________________________________________________________
U. S. states of genealogical interest: ____________________________________
___________________________________________________________________________
Topics of genealogical interest: __________________________________________
___________________________________________________________________________
Field trips of interest: __________________________________________________
___________________________________________________________________________
Field trips most convenient:
|
___ Weekdays |
___ Saturdays |
___ Overnight
|
Other genealogical society membership(s): ________________________________
___________________________________________________________________________
List
five (5) surnames currently being researched:
(To be published in WCGS newsletter.)
___________________________________________________________________________
Check (
) committee(s) of interest:
| ___ Book Collection |
___ Indexing Project |
___ Publicity
|
| ___ Finance |
___ Membership |
___ Seminar
|
| ___ Genealogical Records |
___ Newsletter |
___ Trips
|
| ___ Hospitality |
___ Program |
___ Other: _____________
|
Check (
)
annual membership(s) of interest:
(Payable in U.S. dollars)
| ___ General $25 |
___ Student $10 (under 21 years) |
___ Institutional $30
|
SIGNATURE: ________________________________________ DATE:__________________
Membership Application & Information Sheet
|
.
