WALWORTH COUNTY GENEALOGICAL SOCIETY

Membership Form

Name_____________________________

Address_______________________________________________

City_________________________________________  State_______ Zip+4___________
Phone number (including area code): __________________________
email address: __________________________________________

___________Individual $12.00                 ____________Student $7.00 ____________Family $15.00  ____________ Contributing Member $25.00(please check one)

Surnames you are searching:

_________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

I would be willing to help with the following projects:
_______Cemetery copying            ________Indexing
_______Computer entry               ________Newspaper indexing

Other____________________________________________________________________________________

I would like to see the following projects completed:

________________________________________________________________________________________

I do____ do not____ give my permission to have my information printed in any handouts, newsltters, or publications.

Please send copies of your pedigree charts for future publications.

Mail with your check to WCGS, PO Box 159, Delavan, WI  53115

Back to Walworth County Genealogical Society page
Last updated: Oct. 2007