Please print this page to fill out and send with your check made payable to Will/Grundy Genealogical Society (WGGS) to: Membership Chairman, WGGS, P. O. Box 24, Wilmington, IL 60481-0024.

Will/Grundy Counties (IL) Genealogical Society

MEMBERSHIP APPLICATION

ALL MEMBERSHIPS BEGIN AUGUST 1 OF EACH YEAR. Members RENEWING after the 2nd Wednesday of October-please indicate if you wish to receive issues of the Quarterly that you missed and include $5.00 for shipping. New members who join during the year receive the year's Quarterlies, but NO back issues of the Newsletter.

Check one: (   ) NEW (   ) RENEWAL (   ) LIFE MEMBER   Check if change of address: (   )
NAME:
Additional names to be included for Family Membership:
ADDRESS:
CITY:                                                                              STATE:             ZIP +4:                     
PHONE: (         )                                                                  E-MAIL ADDRESS:                                                 
SURNAMES BEING RESEARCHED (limit of six)

(Above information will be included in Directory - Please type or print legibly)

TYPE OF MEMBERSHIP (Circle One)
  • Individual - $20
  • Family - $25*
  • Charter Individual - $10 **
  • Charter Family - $15 **
  • Individual Life - $250
  • Family Life - $300
  • Student (ages 12-15) -$10
  • Sustaining - $30
*2 or more persons, same address, 1 copy of each Newsletter and Quarterly
**Charter = In effect before July 31, 1983 and continuous since that date.
FOR OFFICE USE ONLY

Date Rec'd                                  Check Amount:                                Check No.                

Membership Card:                                               Donation:                                                             
Directory/Membership Packet sent:                                                                                            
Back Quarterlies:              (1)               (2)               (3)                 (4)               sent                         
                                                                                                          Memb No:               
Membership