~  MEMBERSHIP ENROLLMENT FORM for May 1, 20__ through April 30, 20__  ~

All memberships begin with the May issue and expire the following April. Anyone joining after May will receive all back issues for that year. PLEASE NOTE! If your renewal dues come in late, your back issues of the Quarterly will only be sent with the NEXT bulk mailings unless extra postage is sent with your membership.  It cost approximately $1.50 to send a single issue media rate.

                                                                                  Date: ________________________

Type of membership: Annual - $15 _______               Lifetime - $150__________________

Name: ___________________________                   Telephone:  _____ - ____ - _________

Address: __________________________________________________________________

e-mail_______________________________                        

I am researching the following

surnames: _________________________________________________________________________

Please make checks payable to and mail to:

PCHGS

P. O. Box 636,

Benton, TN 37307.   

THANKS!