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__ 

 

   _______________________      ______________           ____________________       ____________

 

   _______________________      ______________           ____________________       ____________

 

   _______________________      ______________           ____________________       ____________

 

   _______________________      ______________           ____________________       ____________

 

   _______________________      ______________           ____________________       ____________

 

   _______________________      ______________           ____________________       ____________

 

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.