This file part of www.dodgejeffgen.com website
2015 MEMBERSHIP FORM
NEW or RENEWAL
Yearly
dues are for the 2015 calendar year, Jan 1 - Dec 31, the quarterly newsletter,
plus free admission to our library and the ordering of clippings at a reduced
rate.
Mailed and payable to Dodge/Jefferson
Counties Genealogical Society (can use D/JCGS)
P
O Box 91
Watertown,
WI 53094-0091
or Credit card payment using website PayPal link (enter “membership”
in surname box on PayPal form)
If PayPal is used, there is no need to
return this form.
Name __________________________________ US membership $15.00 _____
Street __________________________________ Student (12-18) $ 5.00
_____
City __________________________________ Foreign
member $18.00 _____
State, Zip __________________________________ Donation
General fund _____
Phone __________________________________ Endowment fund
_____
`
Email __________________________________ TOTAL _____
Date of Check ________ Check # _______
>> Your 2015 society membership card will be found in the February newsletter
<<
____________________________________________________________________________
E-TEXT FORMAT OPTION:
Check if you would like to receive the 2015 newsletters in electronic
format instead of
being mailed a hard copy: __________PDF
____________________________________________________________________________
If not done before and if
possible, please include a copy of your pedigree chart
SURNAMES
BEING RESEARCH
Surname First
Name Location Approx time
period
Riedl (example) Engelbert Ixonia, WI, Jefferson Cty 1847
- 1901__
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The surnames you are searching for will be
shared with others [not your email] and if there is a match we will get in
touch with you with the contact information of the other party.
Posted surnames will be associated with your
zip code so that if you see your surname you might know if it is from you.