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Membership Application
Fort Worth Genealogical Society
(This form is good for new members and renewals.)
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Primary Phone
*
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-
###
-
####
Alternate Phone
###
-
###
-
####
Primary Email
*
Alternate Email
Membership Level - Select One - (You will not be charged again.)
*
Individual Membership - 2019 Only - $23
Individual Membership - 2020 Only - $20
Individual Membership - 2019 and 2020 - $63
Family Membership - 2019 Only - $27
Family Membership - 2020 Only - $25
Family Membership - 2019 and 2020 - $52
Sustaining Membership - 2019 Only - $50
Sustaining Membership - 2020 Only - $50
Sustaining Membership - 2019 and 2020 - $100
Contributing Membership - 2019 Only - $250
Contributing Membership - 2020 Only - $250
Contributing Membership - 2019 and 2020 - $500
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