WAUKESHA COUNTY GENEALOGICAL SOCIETY MEMBERSHIP FORM
P.O. Box 1541, Waukesha, WI 53187-1541
Membership cost is $12 for Individual or $15 Household.
Name (s)________________________________ Maiden Name__________________ Date_______________
Address_______________________________________________ E-Mail Address______________________
City, State___________________________________ Zip________________ Phone_____________________
Check Blank(s) Which Apply:
______New Member _____Renewal _____ Address, Phone, or E-mail change
Surnames Being Researched – Maximum of 10. Filling out this section gives WCGS the right to include these surnames as well as your name, address, and phone number in the Society’s surname list, which will be shared with other society members and genealogical organizations.
Please include a regular sized SASE if you wish a receipt.