PLACER COUNTY GENEALOGICAL SOCIETY MEMBERSHIP FORM
Make checks payable to Placer County Genealogical Society
PO Box 7385, Auburn, CA 95604

Name:           ___________________________________________________________
                           First                                    Middle                                         Last                   

                          ___________________________________________________________
                           Spouse’s Name

Address:      ___________________________________________________________
                            Street

                          ___________________________________________________________
                           City                                          State                                        Zip Code

Telephone:  ___________________________________________________________
                            (Please include Area Code)

E-Mail:         ____________________________________________________________

Electronic Rate Membership:               $10.00             $______________

Mail Rate Membership:                        $15.00             $______________

Book Fund Contribution:                                              $______________

Total Enclosed:                                                                                             $_____________

Electronic Rate: This rate shall entitle members to receive electronic only access to and/or delivery of the corporation's newsletter and meeting notices.

Mail rate: This rate shall entitle members to receive by postal mail delivery printed copies of the corporation's newsletter and meeting notices.

    Note: At this time a family membership is defined as two or more persons residing at a single mailing address. You are encouraged to register a family membership. Family memberships are entitled to one vote per family member in attendance at meetings, not to exceed two votes per family.

Our PCGS member list is made available to our membership.