Shenandoah Valley Genealogical Society
Membership Application

(Print, fill in, and mail with check to address below.)
The membership year for Shenandoah Valley Genealogical Society is January 1 through December 31 each year.
Dues are $20 per year for all members of the same household.
(Dues received after October 1 of the current year will be applied towards the following year membership)

MEMBERSHIP STATUS:

_____ New _____ Renewal

MEMBER INFORMATION

Name:__________________________________________________________________

Name:___________________________________________________________________
 
Address: _______________________________________________________________

 _________________________________________________________

City: ______________________________________________________________

State: ____________________ Zip+4:___________-______________

Date: _________    Phone: (_______)____________________
 
 E-Mail Address: __________________________________________________________

Number of years you have been researching? ____

Can information on your application be shared with other members on a
membership roster? (circle one) Y  N

Do you want to participate in a committee?

(Circle interests) Membership Programs Publicity  Projects

Mail a $20 check (payable to SVGS) to:

 Shenandoah Valley Genealogical Society
 P.O. Box 2234
Winchester, VA 22604

 

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