FVGS Membership Registration

FVGS Membership Application - 2010 Calendar Year

Your Information

First Name:		Last Name:
		Maiden Name:
Address:		Current FVGS Member:

City:		State:	Zip Code:
Phone:	-	E-mail (For Newsletter):

Select Membership Options

We would appreciate it if you would add $1 to the membership fee to defray charges we pay to collect payments online.

I would like to add $ for the society's annual donation to the Archives Gift Fund for microfilming and indexing projects of the National Archives (Chicago).

2010 Membership Please select the Membership Desired.
Student Membership - $5
Individual Membership - $15
Family Membership - $20

Family Member Name:		Maiden Name:
Family Member E-mail:		If Different Than E-mail Above

Pay For Membership with Credit Card Using Secure PayPal

You may pay with a credit card or a PayPal account. A confirmation will be emailed by PayPal.