WASHINGTON STATE GENEALOGICAL SOCIETY
APPLICATION FOR MEMBERSHIP
(including Reinstatement and Renewal)
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Name: ____________________________________________________________________________________
Maiden Surname: _________________________________ Spouse's Name: ______________________________
Address: __________________________________________________________________________________
City: _______________________________________ State:
___________ Zip+4: ________________________
Telephone: (_______) _______________________
E-mail: ______________________________________
Single Membership $12.00* per year
(Membership year is from Jan 1 to Dec 31)
Family $13.00* per year (Receives only one copy of periodicals)
Organization $12.00* per year
New Membership _____ Renewal _____ Reinstatement _____
* IF YOU WISH YOUR NEWSLETTER MAILED BY USPS INSTEAD OF RECEIVING IT ELECTRONICALLY, YOU MUST ADD AN ADDITIONAL $8.00 TO COVER PRINTING AND MAILING COSTS.
Please enclose a S.A.S.E. if you would like a membership card mailed.
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Send this form and check
(payable to WSGS) to:
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WA State Genealogical Society
1901 S. 12th Ave.
Union Gap, WA 98903-1256
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