Also, please send in a Pedigree Chart with your family(s)
information with your application. Click here for a copy.
Or send your computer print-out chart along with your dues.
Include your QUERIES on a separate sheet with your contact info.

TEXARKANA USA GENEALOGICAL SOCIETY
MEMBERSHIP APPLICATION
Beginning 1 January thru 31 December

ANNUAL DUES: (CIRCLE ONE) SINGLE: $15.00 FAMILY: $18.00

YEAR:_________ (check one) NEW: __________ or RENEWAL: ___________

NAME:____________________________________________/___________________________
Last First Maiden Name
ADDRESS:____________________________________________________________________
Street or P. O. Box
_____________________________________________________/_______-______
City State 9-Digit Zip Code
PHONE: (____)_____________________________E-Mail______________________________
SPOUSE:__________________________________________/___________________________
Last Name First Maiden Name
 
SURNAME B-M-D DATE LOCATION
________________________ __________ _____________ __________________
________________________ __________ _____________ __________________
________________________ __________ _____________ __________________
________________________ __________ _____________ __________________
________________________ __________ _____________ __________________

We would like to put surname info in the quarterly so others searching the same surname can
contact and share info with each other. What contact info would you like for us to use for
you and your surnames? Please write your contact info, as you would like it to appear.

Name ____________________________
Address ____________________________ E-Mail__________________________
City/State/Zip ____________________________ Phone__________________________

Send this Membership Application Form with your Annual Dues and make your check payable to:
TEXARKANA USA GENEALOGICAL SOCIETY
P. O. BOX 5825
TEXARKANA, TX 75505-5825
 
Please complete the Pedigree chart on the reverse side or send your computer print-out chart along with your dues. Also include your QUERIES on a separate sheet with your contact info.
These will be printed in the Quarterly as space permits.

Also, please send in a Pedigree Chart with your family(s)
information with your application. Click here for a copy.
Or send your computer print-out chart along with your dues.
Include your QUERIES on a separate sheet with your contact info.
© 2002 TUSAGS