Membership application 

Society

Membership Application 2019

(Please print or type)

Dues (please circle one)

Single $20.00 Family $25.00 Life $200.00

Name:________________________________________________________________

Maiden Name: _______________________________________________________

Address:______________________________________________________________

City: ___________________________________ State:____ Zip Code: _________

Phone: (___) _________ I wish to receive my newsletter by email: _____

Email: _________________________________________________________________

The Brown County Genealogical Society is still offering your newsletter by email in 2018. IF you are interested in receiving your newsletter by email please check the line above and provide us with your email address. We will still be mailing newsletters as well.

Indicate below the surnames which you would like listed in the index of surnames being researched by members. (please limit to 6).

________________________ ________________________

________________________ ________________________

________________________ ________________________

Return completed form and a check or money order. Please make check payable to the Brown County Genealogical Society. Enclose a SASE if you wish to receive a membership card thru the mail. Send to:

Brown County Genealogical Society

116 S. 7th St.– Hiawatha, Kansas 66434

Membership

Information

Dues run the calendar year from January 1st to December 31st of each year. If you start your membership AFTER October 1st your dues will be applied to the following calendar year as well as the current calendar year.

Classifications of dues are as follows:

Single $20.00

Family $25.00

Lifetime $200.00 (this can be made in 2 or 4 installments over 1 calendar year)

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