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
                        P.O. Box 459
                     Roseville, CA 95678
 
Please make checks payable to RGS. 

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

             ___$20.00 Single     
	     ___$25.00 Couple(two people residing in the same household)

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Telephone (      )____________________________Today's Date_____________

E-Mail Address_________________________________________________________

I would like to continue to receive my Newsletter by Mail: Yes___ No___

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         Thank You! From the Roseville Genealogical Society