Kankakee Valley Genealogical Society

Membership Application

KVGS Home Page

Please print the page, fill in, and send to the address at the bottom of the form.

__ Mr. & Mrs. __ Mrs.
__ Mr. __ Miss __ Ms.
--------------Surname----------First---------Middle-----------

--------------Maiden-----------First---------Middle-----------

Address______________________________________________________

City___________________State_____Zip________Phone____________

Membership:  New________Renewal________Member No._________

E-Mail Address:____--__________________________________________

Surnames Researching:_______________________________________

______________________________________________________________
Query:________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

Quarterly Suggestions:________________________________________

______________________________________________________________
==============================================================

Please include my name, e-mail address, and surnames on the
KVGS member surnames webpage. 

------------Signature---------------     ---------Date--------

_____________________________________________________________
------------Signature---------------     ---------Date--------

_____________________________________________________________

Membership Dues are for one calendar year, January 1 - December 31. Dues are $15.00 per calendar year for individual or family memberships. Checks should be made payable to Kankakee Valley Genealogical Society. Mail completed application and check to Kankakee Valley Genealogical Society, P.O. Box 442 Bourbonnais, IL 60914.

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