Central Florida Genealogical Society

PO. Box 536309, Orlando, FL   32853-6309  
(PRINT THIS PAGE AND MAIL TO THE ABOVE ADDRESS

or bring it to the next meeting)

MEMBERSHIP APPLICATION  

(Please print clearly)

Date: _________________________  

Title: Mr/Mrs/Miss/Ms  

Your first name: __________ Middle name: ___________  

(Maiden name: __________)  

Surname [your last name]: __________________  

Preferred name for address label: ____________________  

Mailing Address: __________________________________  

City: _______________ State: _____ ZIP: _____________  

Telephone: home(   )__________ work(   )____________  

E-mail address: _____________________

Spouse's name: ________________________  

Your date of birth (Day/Month/Year): _______________  

Place of birth (City/County/State/Country):  

__________________________________________________  

Current or former Occupation: _____________________

Genealogical Experience:  

_______________________________________________________  

_______________________________________________________  

Do you have computer skills?  Yes___  No___

  What type of computer do you use? PC___ Mac___ Other___

  If you use a genealogy computer program, please identify: ________

How/where did you hear of this society?

________________  

 _______________________________________________________