MADISON COUNTY GENEALOGICAL SOCIETY
P.O. Box 631
Edwardsville, IL  62025-0631

MEMBERSHIP APPLICATION

PLEASE PRINT                                                                                       New _____ Renewal _____

Name ________________________________________Maiden Name _______________________

Address _________________________________________________________________________

City _______________________________________ State _______ Zip+4 ____________________

Email ____________________________________________________________________________

Phone ___________________________________________________________________________

Surnames being researched: ___________________________________________________________

________________________________________________________________________________

Individual/Family -- $25.00 Patron -- $35.00 Institutional -- $25.00

Payment must be made in U. S. dollars - money order or check.
Membership year January 1 thru December 31; Dues delinquent January 31. 
Membership includes current year of STALKER (Quarterly) with newsletter.


Volunteers are always appreciated.
If you would like to work on a specific project, please let us know

________________________________________________________________________________

________________________________________________________________________________