Fairfieldgenealogysociety.org
FAIRFIELD COUNTY GENEALOGY SOCIETY
MEMBERSHIP APPLICATION
DATE: 11/9/2020 1:47 PM
(After October 1st, counted toward next year’s membership)
(Membership year is January-January, sorry non-renewals dropped from mailing list after March 31st)
( ) NEW MEMBER: Please fill out membership information below
( ) RENEWAL: Please make any updates OR indicate ( ) Information Still the Same
HIS NAME: __________________________________________________ (NAME + SURNAME(S) Published in Newsletter/Web)
HER NAME: __________________________________________________ Assumption okay to give for Inquiries, if NOT okay
ADDRESS: _________________________________________________________________________________ ( ) No
CITY: _________________________________________________________________________________ ( ) No
STATE: _________________________________________________________ ZIP_____________________ ( ) No
PHONE: _________________________________________________________________________________ ( ) No
HIS EMAIL: _________________________________________________________________________________ ( ) No
HER EMAIL: _________________________________________________________________________________ ( ) No
ANNUAL MEMBERSHIP DUES DESIGNATIONS (Please select one)
INDIVIDUAL ( ) $20.00 Newsletter Emailed only
INDIVIDUAL ( ) $25.00 Please make a selection for Newsletter: ( ) Emailed ( ) Mailed ( ) Both Emailed & Mailed
Or FAMILY
PATRON ( ) $50.00 Please make a selection for Newsletter: ( ) Emailed ( ) Mailed ( ) Both Emailed & Mailed
Please make a selection ( ) Memorial ( ) Honorarium for _____________________________
BENEFACTOR ( ) $100.00 Please make a selection for Newsletter: ( ) Emailed ( ) Mailed ( ) Both Emailed & Mailed
Please make a selection ( ) Memorial ( ) Honorarium for _____________________________
LIFETIME MEMBERSHIP DUES DESIGNATIONS
LIFE TIME ( ) $300.00 Please make a selection for Newsletter: ( ) Emailed ( ) Mailed ( ) Both Emailed & Mailed
Please make a selection ( ) Memorial ( ) Honorarium for _____________________________
ADDITIONAL DONATION DESIGNATIONS (Society 501-3(c), all donations qualify as charitable gifts)
DONATION $________ Please make a selection, Projects: ( ) Cemetery ( ) Digitalization ( ) DNA ( ) Map Funds: ( ) General ( ) Scholarship
TOTAL CONTRIBUTION $________ Thank you for your membership and support for your society!
SURNAMES OR SURNAMES YOU ARE PLANNING TO RESEARCH AND/OR QUERY
FAMILY SURNAME(S): __________________________________________________________________________________
QUERY? _____________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
Ethnicity Research Statistics (optional): ( ) African ( ) European ( ) Hispanic ( ) Multi-National. ( ) Native Am. ( ) Oriental
Mail Application and/or Check to:
FCGS or Fairfield County Genealogy Society
P.O. Box 93
Winnsboro, SC 29180-0093
Email: fairfieldgenealogy@
If viewing online, click here, to pay dues and donations online.
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For our records, please attach to the application your pedigree chart and share any information you have updated on your family lines. The information will be filed and made available in our family files. This will enhance our library records and aide to expedite future request for research and assist walk-in researchers.
Website:
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