MEMBERSHIP APPLICATION

The Blair County Genealogical Society Inc.

431 Scotch Valley Road

Hollidaysburg, PA 16648-9697

(814) 696-3492

membership@bcgslibrary.org

New Renewal

Type of Membership and Benefits:

$20.00 Regular Membership - Quarterly newsletters, 1 query, online surname listing, reduced copy prices.

$15.00 Associate Membership - (must live in same household as another member.) - reduced copy prices.

$30.00 Contributing Membership - Quarterly newsletters, 1 query, online surname listing, reduced copy prices.

$50.00 Patron Membership - Quarterly newsletters, 1 query, online surname listing, reduced copy prices, 25% off obits by mail, and 10% off all BCGS publications.

$100.00 Benefactor Membership - Quarterly newsletters, 1 query, online surname listing, reduced copy prices, 10% off bookstore items including books, tote bags, family tree charts, etc, and a short family history page posted on our website.

Last Name: Full First Name: Full Middle Name:

Address:

City: State: ZIP:

Phone: Email Address:

I prefer to receive my BCGS newsletter via e-mail

I prefer to receive my BCGS newsletter via US Mail.

By checking this box you are giving the Society consent to put your Full Name, Surnames, and email address only on our web site at bcgslibrary.org under Surnames. NO phone numbers or home address will be posted. The Society will no longer mail the Surname list.

I prefer to not have my name, email, and surname list published.

Check this Box if the Surnames are the same as last year. Do not list Surnames if you checked this box.

If you did not check the above box, please list as many as 16 names below.

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The official registration and financial information of the Blair County Genealogical Society, Inc. may be obtained from the Pennsylvania Department of State by calling toll-free within Penna. 1-800-732-0999. Registration does not imply endorsement.