Baltimore County Genealogical Society
Membership Application

To become a member of the Baltimore County Genealogical Society, please print this page, fill in the membership application at the bottom, and send it along with your check to the address below. Please include any family surnames in which you are interested. THANK YOU!

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BCGS MEMBERSHIP APPLICATION

Please Check One: [ ] New Member or [ ] Renewal (existing member)

Name:_________________________________ Phone: (_____) _____ - ________

Address:_________________________________________________________

City:__________________________________ State:_____ Zip+4:_______-_____

(If not USA, Postal Code and Country: _________________________ )

e-mail address: ____________________________________________

Dues enclosed (check one) for January 1 to December 31:
[ ] $15.00 Individual Membership
[ ] $20.00 Family Membership (2-Person Household)
Please make check payable to Baltimore County Genealogical Society and mail it to:
Baltimore County Genealogical Society
P.O. Box 10085
Towson, MD 21285-0085

This section is for use by BCGS: Date Received:__________________ Received By:___________________