Last Name                                    First Name                              Middle Name

 

Maiden Name________________________Name of Spouse_______________________

 

Mailing Address__________________________________________________________

 

City____________________State_______________Zip Code__________+4 Digit Code

 

_________________e-mail address:__________________________________________

 

Genealogical Lines Researching______________________________________________

________________________________________________________________________

________________________________________________________________________

 

Check the appropriate box: [  ] New Member [  ] Renewal – Enclosed [  ] Check [  ] Money Order [  ] Cash

in the amount of $________ to cover membership dues for the Calendar years, ________

          $10.00 Single Membership - $15.00 Family Membership - $15.00 Sustaining Membership

 

[  ] I wish to submit an Ancestor/Pedigree Chart or Family Group Sheet for publication in the Navarro Leaves and Branches and for filing in the Vertical Files of the Genealogy Room of the Corsicana Public Library.

Enclosed with my application is a [  ] Query – [  ] Ancestor Chart – [  ] Family Group Sheet – [  ] Bible Records  – [  ]  Family Story – [  ] Deed Record – [  ] Wills  –  [  ] Church Records  –  [  ] School Records –

[  ] Photographs – [  ] Other____________________________to be included in an upcoming issue of the Navarro Leaves and Branches.

 

 

Signature: ________________________________________________

 

Mail To:                       Navarro County Genealogical Society

Liz Gillispie Genealogy Department

PO Box 2278

Corsicana, TX 75151-2278

 

(903)-654-4810

 

[email protected]       [email protected]