Please indicate the year for which your membership fee is intended:
200___. Today's Date____________ Membership year is from January 1 through December 31. Please allow a full eight weeks for application processing. Renewals and New memberships are accepted throughout the year but should be received before November 1
to avoid missing any issues of the Newsletter for the coming year. All members will receive all four (4) issues of
the Quarterly for the year they join. However, back issues of the Newsletter may not be available if you join mid-year.
Please print your name as you wish it to appear on your membership card:
Address_____________________________________
City________________________ State________ Zip +4_____________
Phone (not for publication)_____________________
e-mail _________________________ (for publication in our Quarterly and Newsletter)
St. Clair County, Illinois surnames you are researching _______________________________________________ (for publication in our Quarterly and Newsletter with your name & address).
We will publish your family Web site in our Quarterly and Newsletter if you like. Please PRINT:
http://www._________________________________
CHECK No.______________ AMOUNT $______________
OVERSEAS MEMBERS PLEASE ADD $10.00 POSTAGE TO MEMBERSHIP (effective Apr 2001)
CHECK HERE IF A RENEWING MEMBER_______ SURNAME CODE (on your mailing label):_________
Complete this form, attach payment and mail to:
**RENEWING MEMBERS WHO WANT A MEMBERSHIP CARD MUST INCLUDE A STAMPED, SELF-ADDRESSED ENVELOPE WITH THEIR RENEWAL.
This page last revised 21 January 2006.