Ford Genealogy Club Enrollment

Member Names and Information:

   Names   _________________________________________________________

   Address _________________________________________________________
 
           _________________________________________________________

   City    _________________________ State ______ ZIP ______________

   Phone-1 _______________________   Phone-2 _______________________

   E-mail-1 ________________________________________________________

   E-mail-2 ________________________________________________________

Member Status:
    Ford Employee        ______
    Ford Retiree         ______
    Agency               ______      
    Other                ______

Interests:
    Field Trips          ______
    Newsletter           ______
    Overseas Research    ______
    Cemetery Research    ______
    Computers/Internet   ______

    Other Interests      ____________________________________________

                         ____________________________________________

Would you be interested in serving as an Officer or
Chairperson at a later date?      Yes ______   No ______

Comment or reason for joining  ______________________________________

_____________________________________________________________________

May we publish your information to the membership?
Yes ______   No ______

Dues are $12.00 per year.

Please make check or money order payable to "Ford Genealogy Club"
and send to:
  Ford Genealogy Club
  P.O Box 1652
  Dearborn, MI 48121-1652 
or 
  bring to the next FGC meeting.


Web site: http://fgc.dianesgenealogy.com/       (January 2010)