ROSEVILLE GENEALOGICAL SOCIETY
MEMBERSHIP APPLICATION/RENEWAL FORM
P.O. Box 459
Roseville, CA 95678
Instructions: 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.
__________$15.00 Single
__________$20.00 Couple.
Print Name___________________________________________________________
Address______________________________________________________________
City_________________________________________________________________
Zip Code_____________________________________________________________
Telephone ( )___________________________________________________
E-Mail Address_______________________________________________________
I would like to continue to receive my Newsletter by Mail
Yes________ No_________
I would like to receive my Newsletter Online Yes________ No________
Thank You, the Roseville Genealogical Society