NCGS Membership Application

To join the NCGS or renew your membership, print all this form, fill it in, and mail it to us with your annual dues. Alternately, you may print, fill in, and mail this PDF file of the Membership Brochure.

(Check One)
_____ New
_____ Renewal (for renewals, you must include your member number, found as the first five digits on last line of our mailing labels.)

How did you hear about NCGS?

____ Brochure              ____ Website
____ Other Member      ____ Other (please specify) _________________________________

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 (such as for the NCGS Journal or NCGS News)
___ Committee Work             ___ Research for Others
___ Board position                 ___ Other (please specify) ____________________________________

Donations

The NCGS accepts monetary donations. Amt: $______

Mailing

Make check payable to "North Carolina Genealogical Society" or complete Credit Card form and mail to:

NCGS Membership
PO Box 30815
Raleigh, NC 27622-0815

Name _____________________________________________________ Member # ________

Address ____________________________________________________________________

City _________________________________________  State ____  Zip + 4 ________________

NC County of Residence ____________________________      Telephone _________________

E-Mail ______________________________________________________________________
An e-mail address is required for members-only web access. Your e-mail address will never be shared.

Circle One

Credit card orders will not be processed if the form below is incomplete.

Signature _______________________________________  Print Name _____________________________

Credit Card # __________________________  Exp. Date (mm/yyyy) _______  Security Code _________