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WASHINGTON STATE GENEALOGICAL SOCIETY
APPLICATION FOR MEMBERSHIP
(including Reinstatement and Renewal)

 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.



Send this form and check
(payable to WSGS) to:
WA State Genealogical Society
1901 S. 12th Ave.
Union Gap, WA 98903-1256
OR Pay Online Using