Genealogical Society of Vermont

Membership Form

To join the Genealogical Society of Vermont, please print this page, fill out this form and mail (sorry, no e-mail for membership yet) with dues in US Funds, to: GSV Membership Chairperson, 57 East Shore North, Grand Isle, VT 05458. {Note, this is a new address.}

(Dues are $25 for US addresses, Canada and Mexico $30, foreign $35)

Name:_______________________________________________

Address:___________________________________________

City, State, Zip:________________________________________

Country (if not U.S.)________________________

E-mail address:____________________________

Check here if you would like to receive the quarterly newsletter by email instead of postal mail. ______

Surnames you are researching (maximum of 5):

_______________________________________________________

Dues _________________

Donation ______________

Total _________________

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Page last updated 10 December 2007