South Central Virginia
Genealogical Society

Membership Application

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Then complete and mail to the address below...Thank You.

Your Name:	___________________________________________________
E-Mail Address:	___________________________________________________
Street Address:	___________________________________________________
City, State, Zip:	___________________________________________________
Telephone No:	___________________________________________________

Surnames You Are Researching In The Following Counties:
(Amelia, Appomattox, Brunswick, Buckingham, Campbell,
Charlotte, Cumberland, Halifax, Lunenburg, Mecklenburg,
Nottoway, Pittsylvania, and Prince Edward.)

Surname #1:	____________________	County(s) of Research	________________________________________
Surname #2:	____________________	County(s) of Research	________________________________________
Surname #3:	____________________	County(s) of Research	________________________________________
Surname #4:	____________________	County(s) of Research	________________________________________
Surname #5:	____________________	County(s) of Research	________________________________________

Need a Specific Query completed, go Here , and complete a Query Application
and send it in with your Membership Application.

Membership is $15.00 annually and is due in January
of each year. Membership will include any past issues
of the newsletter for the current year. Please send Membership dues to the following address:

South Central Virginia Genealogical Society, Inc.
P. O. Box 295
Charlotte Court House, Virginia, 23923

Our E-Mail Address is vascvgs@yahoo.com
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