SEATTLE GENEALOGICAL SOCIETY MEMBERSHIP
Date__________________
___New ___Renewal
___Reinstate* ___ Single
___Dual** ___Library
Membership
dues:***
Name____________________________________________________________
Single
$35________________
Address__________________________________________________________
Dual $45_________________
Contributing
$50___________
City/State/Zip_____________________________________________________
Patron $100+_____________
Life
single
$525___________
Phone (h)___________________________(w)___________________________
Life dual $675____________
E-mail____________________________________________________________
International postage:
Canada/Mexico
$7.50_______
Surnames of interest:________________________________________________
All other int'l $15___________
Regions of
interest:__________________________________________________
Donation
to SGS $_________ Thank you for your additional
contribution to help fully fund the SGS library & activities.
___Please check
if you do not want your name published as a member and/or donor.
___Please check if your donation is a memorial or
for other purpose and
describe below.
Total enclosed
$___________ ___ My employer will match my
contribution. Enclosed is the matching-gift form.
(Please include SASE to receive a new membership card. Otherwise you may pick up the card when you visit the library.)
Who referred you to the Seattle Genealogical Society? ______________________________________________
Office Use Only:
Payment-Cash_____
Check_____ Membership Card_____ Membership
Kit_____ Volunteer Initials_____ Computer
Input_____
WebsiteRev:08-09
______________________________________________________________________________________________
* For lapsed membership of one year or more.
** For two or more individuals in the same household.
***
The SGS membership year is June 1 - May 31. After January 1, dues
for the current year are prorated at 50% of the annual rate
and dues
for the next year are payable at the same time. For example,
after January 1 of the current year a single membership is
$52.50
(dual $67.50) and
expires May 31 of the following year.
If you have any questions please call 206-522-8658 or send email to: SeattleGenealogicalSociety@gmail.com
Send this form together with your check or money order payable to:
SEATTLE GENEALOGICAL SOCIETY
P.O. BOX 15329
SEATTLE, WA 98115-0329
Seattle Genealogical Society is a 501c(3) nonprofit, charitable organization registered in the state of Washington.
Tax ID# 91-0850085. Contributions are tax deductible.