CSHG
Membership Form
Print this page and mail
the completed form with your check to
Membership Chair
Colorado Society of Hispanic Genealogy
2300 South Patton
Court
Denver, CO 80219-5212
Membership from January 1 to December
31
Year: _______
Name:
Address:
City:
State:
ZIP
Telephone
#: E-mail
Address:
Search
information: (On the back of this form,
include full names; birth, marriage, and death dates;
and locations of people you are researching)
Check
one of the following:
|
(
) Individual/Libraries/Institutions
|
$20
|
(
) Family
|
$25
|
|
(
) Seniors (60+) / Students
|
$17
|
(
) Senior Citizen Family
|
$22
|
|
(
) Associate/Supporting
|
$20
|
|
|
I give permission for CSHG to publish my: (check all
that apply)
(
) Name ( ) Address
( ) Phone (
) E-mail Address
Signature:
Date:
Where
do you do your research? (Name of Library, Location of
LDS, online, etc.)
I
would like to volunteer: (Circle where
appropriate)
|
Archives
|
Computer Input
|
Extractions
|
Fund Raising
|
Sales
|
|
Journal
|
Mailing
|
Reference Library
|
Conference
|
Refreshments
|
|
Web Site
|
Public Relations
|
Genealogy Research
|
Social Events
|
Programs
|
Yes,
I can help! Attached is my tax-deductible contribution:
__ $5
__ $20 __ $50 __ $100 __ $500 __ Other
CSHG is a non-profit
organization with tax-exempt status under section 501(c)
(3). Donors, corporations and foundations interested in
making gifts or grants under section 501(c) (3) may obtain a
copy of the CHGS's exemption letter from the CSHG President.
Employers will match,
double, or even triple the amount an employee contributes.
If your employer participates in a corporate matching gift
program, contact your personnel office to obtain the proper
form and submit the form with this page and your
contribution.
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