MEMBERSHIP RENEWAL FORM

ITALIAN GENEALOGICAL SOCIETY OF AMERICA

P. O. Box 3572, Peabody, MA 01961-3572

Name & Address (Please type or print)

____________________________________________Member # __________

_______________________________________________________________

_______________________________________________________________

Phone: ____________________________

Email- (Please print in CAPITAL letters): ________________________________

Annual dues are $15.00 Individual; $20 Family*; $10 Student**; $10 Organization**

Donations to the Society are always welcome! Please make checks or money orders payable to IGSA. Memberships run from July 1 through June 30 each year. SEE YOUR ADDRESS LABEL FOR YOUR EXPIRATION DATE.

(* voting privileges and receives one set of mailing only, ** no voting privileges and receives one set of mailings)

GRAZIE!   Check #_____________ Date: ____________ Amount: _____________