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Please print this form out, then fill it in and mail it along with your membership check to:
BLUE HILLS GENEALOGICAL SOCIETY -
BARRON COUNTY, INC.
P.O. Box 383, Cameron WI  54822
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MEMBERSHIP APPLICATION
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Membership dues for one calendar year are:
$12.00 (single) or $18.00 (dual - *please see notation below)
Our membership year runs from April 8th of one year until April 7th of the following year.
Please make checks payable to:  Blue Hills Genealogical Society - Barron County, Inc. or BHGS-BC, Inc.
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PLEASE PRINT ALL INFORMATION:
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NAME________________________________________________________DATE___________________________
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(IF DUAL MEMBERSHIP, PLEASE STATE PARTNER'S NAME) _________________________________________
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ADDRESS_____________________________________________________________________________________
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CITY________________________________COUNTY_____________________STATE______ZIP______________
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TELEPHONE NUMBER_________________________________________________________________________
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EMAIL ADDRESS______________________________________________________________________________
*DUAL MEMBERSHIPS consist of two people from the same household.  Please have both members fill & mail in forms!
SURNAME FILE
PLEASE LIST THE BARRON COUNTY SURNAMES THAT YOU ARE RESEARCHING AND ARE WILLING TO SHARE INFORMATION ABOUT (Use back of this sheet if needed):
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RESOURCE EXCHANGE
PLEASE LIST ANY RESOURCES (BOOKS, CENSUS, ETC.) IN YOUR POSSESSION THAT YOU WOULD BE WILLING TO DO LOOK-UPS IN (Use back of this sheet if needed):
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TO RECEIVE OUR BI-MONTHLY NEWSLETTERS, PLEASE SELECT THE BEST DELIVERY METHOD FOR YOU (newsletters will not be delivered if a selection is not made):
___via E-Mail as PDF document*  OR   ____via U.S. Postal Service (snail mail)
(*A free download of Adobe Acrobat Reader is needed to read it.  An email will be sent to you stating its imminent delivery)
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SOCIETY VOLUNTEERS ARE ALWAYS NEEDED FOR A SUCCESSFUL SOCIETY.
WE ENCOURAGE YOU TO PARTICIPATE IN THE OPERATIONS OF THE SOCIETY.
Are you willing to serve in some capacity in this genealogical society?   ____Yes     ____ No
I am interested in serving on any of the following proposed committees...
Newsletter____  Membership____  Records Acquisition____  County Records Search____
Fund Raisers____  Programs____  Projects____  Correspondence____  Other____
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We welcome you to the Blue Hills Genealogical Society - Barron County, Inc.!
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