ROSEVILLE GENEALOGICAL SOCIETY 
                 MEMBERSHIP APPLICATION
                      P.O. Box 459
                   Roseville, CA 95678

Benefits of membership: bi-monthly newsletter, library privileges 
(check out books from our library), submit free queries to the 
newsletter and excellent programs which will increase your knowledge 
of genealogical research.

Dues: $15.00 single and $20.00 couple.

Application: please print and fill out this form, and mail it with 
your annual dues, to P.O. Box 459, Roseville, CA 95678. Please make
out your check to RGS. Questions may be directed to Helen Astill at 
hastill@surewest.net. We look forward to having you join us. 


Date_________________________________________________________________

Print Name___________________________________________________________

Address______________________________________________________________

Phone (optional)_____________________________________________________

E-Mail Address (optional)____________________________________________

May we publish your information in any of our Members-Only 
publications? 

Your Address
Newsletter (articles, including new member information) OK____ NO____
Members Only (phone/address/e-mail lists)               OK____ NO____
Surname Lists (when published )                         OK____ NO____

Your E-Mail Address
Newsletter (articles, including new member information  OK____ NO____
Members Only (phone/address/e-mail)                     OK____ NO____
Surname Lists (when published)                          OK____ NO____

Your Name
Newsletter (articles, including new member information) OK____ NO____
Members Only (phone/address/e-mail lists)               OK____ NO____
Surname Lists (when published)                          OK____ NO____

Your Surnames
Newsletter (articles, including new member information) OK____ NO____
Members Only (phone/address/e-mail lists)               OK____ NO____
Surname Lists (when published)                          OK____ NO____

Please submit family surnames, dates and locations you reseach
to rgssurname@hotmail.com.

Thank You, the Roseville Genealogical Society