I hereby apply for membership in
the Alachua County Genealogical Society and pledge my loyal support to
the good of the Society and to its members. I understand that my
membership shall be effective for the calendar year in which my application
is approved, that I will receive copies of the Quarterly issued during
said year and that annual dues are payable on or before January 1st of
each year.
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Mr/Mrs./Miss/Ms ________________________________________________
Birthdate
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Mailing Address _______________________________________ Home Phone __________________ City/State/ZipCode ___________________________________________ Business Phone _____________________ Occupation/Profession _____________________________________________ (_____) Active or (____) Retired Year started researching ______ If Professional Genealogist, please state your specialty: _______________________ Available for speaking engagements? Y/N (_____) Topics:_____________________________________________ |
ex: A. SMITH/1820-50/NC>GA>FL | . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | . . . . . . . . . . . . . . . . . . . . . . . . . . . .... |
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TREASURER - Date:____________
PRESIDENT --- Date:____________ SURNAME ---- Date:____________ SECRETARY-- Date:____________ LIBRARY ------ Date:____________ |
Signature of Applicant Date |