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Georgia State Seal
 
Central Georgia Genealogical Society
 

This Web form will create a filled-in application which you can then print out.
Simply (1) fill out the form, (2) click on the Submit button, (3) print out the resulting page, and (4) mail it to CGGS along with your check.

CENTRAL GEORGIA GENEALOGICAL SOCIETY, INC.
Post Office Box 2024
Warner Robins, GA 31099-2024

APPLICATION FOR MEMBERSHIP

TYPE OF MEMBERSHIP APPLIED FOR:
Individual Family* Individual with Foreign Address
Dues:
      $25.00
      $30.00
      $30.00 USD


PLEASE INCLUDE ALL INFORMATION

  Mr. Mrs. Miss        
Name:
Born:
Day
Month
Year
 
Mailing Address:
City:
State:
 Postal:
Country:
 (Also use this field for for foreign addressing information that does not fit well into the fields above.)
 
Occupation:
Active
Retired
 
Home Telephone:
Email Address:
 
Your Research Surnames:
Year Started Research:
Certification/
Accreditations:


WHEN DO YOU WANT YOUR MEMBERSHIP TO START? Check one of the following:

THIS YEAR: If you want your membership to start this year you will receive all current issues of our Quarterly and subsequent issues of our Newsletter. NOTE: Your next year's dues will be due for renewal by 1 January.

NEXT YEAR: If you want your membership to start next year you will not receive your first Quarterly until April of next year. You will receive subsequent issues of our Newsletter and you are welcome to attend our monthly meetings.

* FAMILY MEMBERSHIP is limited to husband and wife, widow/er with dependant living in the same household. Only one copy of the NEWSLETTER and QUARTERLY will be mailed to family membership households. Please submit separate applications for both family members and indicate your relationship.

Annual dues are payable by 1 January of each year.
 
Check Attached: (Select one)