NCGS New or Renewal Membership Application
To join, print all this form, fill in the form, and mail it with your annual dues.
Types of Membership (check one):
New _____ Renewal _____(must include Member # below -1st 5 digits on last line NCGS mailing labels)

(circle one)
Individual Membership*.................... $40.00* per year (, )
Family Membership* (same residence)......... $45.00* per year (, )
Foreign Membership (includes postage).. $55.00* per year (, )
Patron Membership*........................ $100.00* per year
Institutional Membership................. $40.00* per year (, )
Does not include yearly query.
*Includes four free queries per year, all discounts on workshops, subscription to NCGS Journal and NCGS NEWS.
Membership: There is a $5.00 discount for RENEWALS if dues are submitted before 1 December .
_______ check here to receive NCGS News (newsletter of NCGS) at the NCGS website (www.ncgenealogy.org). This means you will not receive a paper copy of the newsletter.
_______ send the paper copies ofthe NCGS News to my address.
How did you hear about NCGS? ____ Brochure; ___ Website; ____ Other Member;
Other: _________________________________

WOULD YOU LIKE TO VOLUNTEER? YES ____ NO ______
Do you have experience or interest in any of the following?
Computer Technology ___ Brochure Design ___ Publicity ___ Writing Articles for the NCGS Journal or Newsletter ___ Committee Work ___ Research for Others ___ Board position ___ Other Experience _____________________________________________
NCGS accepts monetary donations. Amt: ______
Make check payable to "North Carolina Genealogical Society" or complete Credit Card form and mail to:
NCGS Membership, P.O.Box 1492, Raleigh, NC 27602-1492
Name: _____________________________________________________ Member # ________
Address:____________________________________________________________________
City:_________________________________________State:____ZipCode+4:________________
NC County of Residence:__________________________________________Telephone:_________________
Email:______________________________________________________________________
Circle One Credit Card Order will not be processed if Form below is incomplete

Signature: _______________________________________Print Name:_____________________________

Credit Card #:__________________________Exp. Date (mm/yyyy):_______Security #:_________