|| Southern Genealogist's Exchange Society, Inc. • Membership Application ||

and mail to:
SGES P.O. 2801 Jacksonville, FL 32203-2801 Make a check payable to SGES, Inc..

Membership Application for Southern Genealogist's Exchange Society, Inc Date: _______________________________ Month, Day, Year

Yearly Individual $30
Yearly Family $35
Life (Individual) $500
Life (Family) $750

$ _________		Total Due
Please Print
	Name:_________________________________________________________________ Address: _______________________________________________________________ City, State, Zip: __________________________________________________________ Phone: ________________________________________________________________ Email Address: __________________________________________________________ Please Circle One : New Member or Renewal
FOR OFFICE USE ONLY: DATE REC'D:__________________ AMT REC'D:____________________ EMAIL:________________ INDEX CARD:____________________ WORKSHEET:___________________ NEW MEMBER KIT:_______________ MAILING LABEL:______________ QUARTERLY:______________ MEMBER EVALUATION COMPLETE:________________ POSTED TO COMPUTER:_________________