Contra Costa County Genealogical Society

Membership Application/Renewal

PO Box 910
Concord CA 94522-0910
http:www.rootsweb.ancestry.com/~cacccgs
cccgs.ca@gmail.com


Membership year is the calendar year (January to December).  Members paid by February 1st may vote that year (Board elections, etc.) and will be included in the Membership Directory published in May.  Membership includes 11issues of the Diablo Descendants Newsletter (No meeting or newsletter in August).

Date: ____________________

Membership Category:  [ ] Individual $20     [ ] Family $30     [ ] Library / Society $_____

I am:  [ ] A new member     [ ] Renewing my Membership

Additional Donations:  [ ] Books/Media $ ______     [ ] Other $_____

Please PRINT the following information:

Name:_____________________________________________________ Membership Year 20__

Address:_______________________________________________________________________

City:______________________________ State: ___ Zip: _____-_____
Home Phone: ( ___ ) ___ - ______________

Other Phone: ( ___ ) ___ - ______________

E-Mail:____________________________________________________________________

Surnames Being Researched (no limit for web page)

Format:  Name, Location, time frame (i.e., Smith (Eng, NY, TX)1850-1920

1:                                                                             2:

3:                                                                             4:

 

I grant permission to post my Surnames on the CCCGS website:  [ ] Yes  [ ] No

If Yes, your email as provided above will be listed on the website as a means to contact you.

 

Meetings

Meetings are held on the second Thursday of every month at 7:00 p.m. at the Concord LDS Church, 1360 Alberta Way., Concord, CA.

 

How did you find us:  [ ] word of mouth    [ ] Library     [ ] Newspaper    [ ] Internet     [ ] Other:_____________

 

When Complete, please mail to:

Contra Costa County Genealogical Society

P.O. Box 910

Concord, CA  94522-0910