ROSEVILLE GENEALOGICAL SOCIETY 
              MEMBERSHIP APPLICATION/RENEWAL FORM
			  
			  
			  
Instructions: please print the following information on this form,
and mail it with your annual dues to: 			  
			  
			    RGS
                     557 Lincoln Street
                     Roseville, CA 95678
 
Please make checks payable to RGS. 

Questions may be directed to Helen Astill at hastill@surewest.net. 

             ___$25.00 Single     
	     ___$30.00 Couple/family(two people residing in the same household)
	     ___$5 Mailed Newsletter

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         Thank You! From the Roseville Genealogical Society