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Black Genealogy Search Group Membership Application
NAME (first, last & middle): _________________________________________
ADDRESS: ___________________________________________ APT: _______
CITY/STATE/ZIP: _________________________________________________
TELEPHONE: ___________________
E-MAIL: _________________________
__ Member Renewal __ New Member __ Newsletter Only
Surnames State County
City/Township
_______________ _____ __________________
____________________
_______________ _____ __________________ ____________________
_______________ _____ __________________ ____________________
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Annual Memberships: are $20.00 per year (renewable every January)
and Includes four (4) quarterly
newsletters.
Household (Family) Memberships: are $30.00 per
year.
Newsletter Only Subscriptions:
are $10.00 per year for four issues.
Please
make checks payable to: The Black Genealogy Search
Group
Mail to BGSG, P.O. Box 7276 Denver,CO
80207
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