American-French Genealogical Society: Membership Application

Membership Application

(Please print, complete, and mail this form along with your payment) .

NAME:_____________________________________________

ADDRESS:__________________________________________

CITY:______________________________________________

STATE (PROVINCE):________________________________

ZIP (POSTAL CODE):________________________________

COUNTRY: ________________________________________

PHONE NO:________________________________________

INTERNET E-MAIL:_________________________________

TYPE OF MEMBERSHIP
Values in ( ) Are Rates Outside U.S.

	Individual $ 32.00 US ($40.00)
	Family $ 32.00 + $10.00 each additional member
	Family ($40.00) + $10.00 each additional member
	Institutional $27.00 US ($30.00)
	Life $384.00 US ($480.00)

Membership

New

Renewal

Member #________________

Please send me the Lending Library Kit - $3.00 (refundable on first order)

Make All Checks Payable To: AMERICAN-FRENCH GENEALOGICAL SOCIETY
Canadian Residents: Please Use Postal Money Orders, In U.S. Funds Only

Please allow 3-4 weeks for Processing

We also accept Visa and MasterCard!

Check One: Visa MasterCard

CARD NUMBER:_____________________________________

NAME ON CARD:____________________________________

EXPIRATION DATE:_________________________________

SIGNATURE:________________________________________

Please mail to:
-
American-French
Genealogical Society
P.O. Box 830
Woonsocket, RI
02895-0870

Updated 24 July 2002