Membership Information

Annual Membership Dues are $30.00 per household. An annual journal of Hispanic research is given for each paid membership. Shipping of the journal is included in the cost of membership dues.
Please Print this application or use copy and paste and mail it in with your joining dues
2016 Dues should be mailed in

MEMBERSHIP APPLICATION

Name: _________________________________________________________

 Spouse : ________________________________________________________

 Street Address:___________________________________________________

 City / State / Zip __________________________________________________

 Please Check off one:---- NEW ______ RENEWAL ______

 Additional Contributions:

 Contributor $ 1 to $ 49          _______

 Donor $50 to $ 99                  _______

 Patron $ 100 to $ 249            _______

 Sponsor $ 250 to $ 999         _______

 Benefactor $1000 and above  _______

 Enclosed Home Phone#:________________________________________

 Work Phone#:_________________________________________

 Fax#:________________________________________________

 EMail Address _______________________________________

 How Long have you been searching? ______________________
 
 

Please list the surnames, locations and time periods you are researching:

 _______________________________________________________________

 _______________________________________________________________
 
 

Send your order, check payable to Hispanic Genealogical Society:

Hispanic Genealogical Society
P.O.Box 231271
Houston, TX 77223-1271

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