2009 Membership

$______ $15 2009 calendar year membership /($18 if outside U.S.)

 

$______ $  DONATION, General, Memorial or D/JCGS Endowment Fund

 
$______ $ TOTAL     THANK YOU !

 
 
Memberships may be paid for with a credit or debit card by means of PayPal

 

Membership Application:

Mail to:
Dodge/Jefferson Counties Genealogical Society
MEMBERSHIP APPLICATION
P.O. Box 91
Watertown, WI 53094-0091

Name              __________________________________________________
Address           __________________________________________________
                        ___________________________________Zip_____________
E-mail             __________________________________________________
                       (addresses, including email, will not be published or given to others)

Phone              _______________________________

Surnames being researched __________________________________________

- membership is for the given calendar year (Jan 1 - Dec 31)

Membership contact: djcgs@dodgejeffgen.com 

If possible, please include your pedigree charts for our records.