Membership Form

ITALIAN GENEALOGICAL SOCIETY OF AMERICA  (FOUNDED 1994)
P.O. Box 3572, Peabody, MA 01961-3572

Yes! I am interested in becoming a member of the ITALIAN GENEALOGICAL SOCIETY OF AMERICA

Name & Address (Please type or print):
_____________________________________________________________________________
_____________________________________________________________________________
___________________________________________________Zip:_______________________
Phone:______________________________________________  
Email address (PLEASE PRINT  IN ALL CAPITAL LETTERS) _________________________________________

Society's Code of Ethics:
I hereby agree that as a member of the Italian Genealogical Society of America I will, to the utmost of my abilities, abide by
the bylaws of the Society, and maintain those standards of high integrity that are necessary to the keeping of accurate and
lasting records of our ancestors for the benefit of this and future generations. I further agree that I will use those records
now in existence with the care necessary for the preservation of the same.

Signature:_______________________________________________________ Date:____________________________

IGSA RESERVES THE RIGHT TO ACCEPT OR REJECT ANY APPLICANT

Make check payable to IGSA.
Annual dues are: $15.00 Individual; $20.00 Family*; $10.00 Student**; $10.00 Organizations**
(*voting privileges and receives one set of mailings only; **no voting privileges and receives official mailings)
Please check membership type:
[  ] Individual              [  ] Family              [  ] Student           [  ] Organization
 

An Organization is as good as its members are willing to make it. Won't you help?
[  ]  I have an area of specialization that is related to Italian genealogy, and would be interested in presenting
        a lecture or workshop.
[  ]  I am interested in contributing an article and/or column for publication on Italian genealogy.
 

Surnames and locations I am researching in Italy:

Surname Town Province Region
       
       
       
       
       
       

GRAZIE!
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