WAUKESHA COUNTY
GENEALOGICAL SOCIETY MEMBERSHIP FORM
P.O. BOX 1541,
Waukesha, WI 53187-1541
Membership cost is $12/individual or $15/family per year
from September 1 to August 31.
Membership will be prorated at $1 per month for joining
mid-year.
Cost includes e-mail copies of newsletters.
Members who prefer hard copies mailed must add $6 per year
to the membership fee.
Name(s)
____________________________________________________________________
Maiden Name__________________________________________ Date__________________
Address_____________________________________________________________________
City/State___________________________________________________
Zip Code_________
E-Mail Address_________________________________________
Phone_________________
_____New Member
_____Individual ($12)
_____Address or Phone # Change
_____Renewal
_____Family ($15)
[Please include a SASE
(self-addressed stamped envelope) if you wish to have a receipt.]
Surnames Being Researched – Maximum of 10 (Filling out this
section gives the Waukesha County Genealogical Society the right to include these surnames as
well as your name, address and phone number in the Society’s surname list which will be shared
with other society members and genealogical organizations.)
_____________________________________________________________________________
_____________________________________________________________________________
For Office Use Only:
Check No: ________ Check Date: ________
Check Amt: _______ Exp Date: __________