Guilford County Genealogical
Society
Membership Application
Check- New Membership: ___ Renewal: ___ Membership Number: ________
Name: _________________________________________ Annual
Calendar Year Membership
Address: _______________________________________ Please Circle Membership Type
Address 2: _____________________________________ Individual $25.00
City: _______________________________ State: ____ Institutional $25.00
Zip + 4: _______________________________ Family $30.00
Telephone: (_______) ____________________ Canadian $40.00
E-mail Address: _________________________________ Overseas $40.00
(optional)
Amount Enclosed: $ ____________
Mail To: Guilford County Genealogical
Society
P.O. Box 4713, Dept W
Greensboro, NC 27404-4713
Society Use Only: W
C# ___________ CD ___________
CA ___________ DB ___________