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 $5 per year to the membership fee.
Maiden Name__________________________________________ Date__________________
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: __________