Larimer County

Genealogical Society

www.lcgsco.org

Membership Information/Update

Name _________________________________________ Date

Address __________________________________________________ Phone_________

_______________________________________________ New___ Renewal ___

City State Zip+4

E-Mail ________________________________ Individual $18 ____ Family $27 ____

Genealogy Software Used ___________________ Willing to help other users? ____

I would be willing to help with the following:

___ Attendance

___ Fill Publication Orders

___ Lead Workshop/Class

___ Mailings

___ Membership

___ Proofreading

___ Publicity

___ Refreshments

___ Research

___ Telephoning

___ Typing/Data Entry

___ Web Page Article

___ Write Article forCity/Area Newspaper

___ Write Article for Society Newsletter

___ Write Book Reviews

___ Other ___________________

Make Check or Money Order payable to Larimer County Genealogical Society. Please remit renewals before January 31^st. Return form and payment to Larimer County Genealogical Society, P.O. Box 270737, Fort Collins, CO 80527-0737

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Membership/Treasurer Use Only

Date ________ Rec’d By _____ Cash ____ Check # __________ Mem. Yr _____

Surnames Researching

Surname Place Date Range

Permission to publish my Surname List and my E-Mail or Phone # (circle your choice)

on our Web Site? Yes ____ No ____

Example:

Jones New Hampshire 1850-1920 John Doe: jdoe@aol.com

Surname Place Date Range Researcher

Other Information:*

Born Where? _________________________________________________

Raised Where? _______________________________________________

Profession(s) _________________________________________________

Hobbies _____________________________________________________

Hidden Talents ________________________________________________

Years of Genealogy Experience ________________

Genealogy Goals _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

*This information may be included in various LCGS publications

Revised October 2006 RL