Membership fees are per annum, payable on January 1 of each year.  Membership in the Society shall be open to any person who is interested in genealogy and who has paid the annual dues.  Print this page out and mail with your annual dues to the address at the bottom of the form.

[    ]  Membership..........$15.00

[    ]  Send Quarterly by E-mail as well as regular mail (Include E-mail address below) 

(Circle)  Mr., Mrs., Ms., Miss   ________________________________________________

Maiden name of married female ________________________________________________

Mailing Address ________________________________________________

City _____________________________________________

State ______  Zip _____________

Phone ____________________________________________________

E-Mail _____________________________________________________

Surnames of Interest:

__________________________________________________________

__________________________________________________________

Make checks payable to: SBAGS

Mail completed application to: 

South Bend Area Genealogical Society

c/o The Mishawaka-Penn-Harris Public Library

209 Lincoln Way East

Mishawaka, Indiana 46544

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