|ERIE SOCIETY FOR GENEALOGICAL RESEARCH (ESGR)
O. Box 1403
APPLICATION FOR MEMBERSHIP
Full Name of Applicant: _______________________________________________________________
Address: __________________________________________ Phone No: ______/________________
City/State: _________________________________________ 9-Digit Zip Code: __________________
E-Mail Address: ___________________________________________
THE FOLLOWING WOULD BE APPRECIATED:
Occupation (past or present):
Organizations in which you hold membership (patriotic, historical, genealogical, heraldic, civic, etc.:
TYPE OF MEMBERSHIP REQUESTED:
____ Individual $15.00 ____*Family $21.00 _____ Lifetime $300.00
*Family consists of two persons (one individual and one
associate) in the same household;
only one mailing of our quarterly bulletins, "Keystone Kuzzins", will be received, four times a year.
____ research ____Reading Room ____proofreading ____ telephoning
____ typing ____computer input ____filing ____ other _______________
Add my name/address/phone # to our List to give to other members? ____Yes ____No
I AGREE to aid the work of the Society, to abide by its ByLaws, and to protect and preserve all things genealogically and historically. Copies of the ESGR ByLaws are available at the ESGR office or may be requested by calling (814) 454-1813, ext. 29.
(1)__________________________________ Signature (2) __________________________________ Associate Signature
MAIL APPLICATION AND CHECK TO: Erie Society for Genealogical Research, P. O. Box 1403, Erie, PA 16512-1403
Date Received Fees: ______________________ Date Card Sent: _______________________
Membership Number: ______________________ Surname Forms Mailed: _____ Received:______
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Copyright 2000-2010 Erie Society For Genealogical Research - Updated 4/6/10