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AzGAB Membership Form
| Name:
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____________________________________________
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| Address:
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____________________________________________ |
| City, State, Zip:
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________________________, _____, _____________ |
| Phone:
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(____)
______________________________________ |
| Fax:
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(____)
______________________________________ |
| Email:
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____________________________________________
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Membership Options
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$25.00 |
Society |
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$25.00 |
Library |
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$10.00 |
Professional |
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$10.00 |
Individual |
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$10.00 |
Subscription to Newsletter (non-voting) |
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Donation |
Made to Federation of Genealogy Societies
for copying National Archives records |
Membership Option __________ Amt
Enclosed $__________
Signature:
_______________________ Date: ____________
| Designated Society or Library
Representative: |
|
Name:____________________________________ |
|
Address:__________________________________ |
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Phone:___________________________________ |
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Fax:______________________________________ |
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Email:____________________________________ |
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Mail to:
Attn: |
AzGAB
MEMBERSHIP
P.O. Box 5641
Mesa, AZ 85211-5641 |
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Membership Form