NORTH PINES GENEALOGY GROUP MEMBERSHIP FORM
PRINT FORM AND MAIL TO NORTH PINES GENEALOGY GROUP, P.O. Box 132, Merrill, Wisconsin 54452
NAME _____________________________________________________
Name of spouse/Maiden name _________________________________
Address ___________________________________________________
City _________________________ State_______________________
Zip _________________ Phone _______________________________
Fax _________________________ E-Mail _________________________
Surnames to be included in the Surname Index
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Program Suggestions or Areas of Interest
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New Membership___________Renewal ______________
My Surnames may be posted in the Surname Index:
Yes ____ No_____
Dues are $12 for Individual/Family membership with electronic newsletter delivery option and $16 if choosing the print copy newsletter mailed to your home. The subscription year starts on January 1st and ends December 31st, however if a new member joins after November 1st the membership fee paid will cover the remaining 2 months of that year and the following year.
Copy and send this completed form and your check to North Pines Genealogy Group, P.O. Box 132, Merrill, Wisconsin 54452. If you would like a NPGG membership card, please enclose a SASE.