Contra Costa County Genealogical Society

Membership Application/Renewal

Membership year is the calendar year (January to December).  Members paid by February 1st may vote that year (Board elections, ect.) and will be included in the Membership Directory published in April.  Membership includes 6 issues of the Diablo Descendants Newsletter.

Membership Category:  [ ] Individual $15     [ ] Family $25     [ ] Library / Society $_____

I am:  [ ] A new member     [ ] Renewing my Membership

Additional Donations:  [ ] Heritage Collection $_____     [ ] Other $_____

Name:_____________________________________________________ Membership Year 20__

Address:_______________________________________________________________________

City:______________________________ State: ___ Zip: _____-_____ Phone: ( ___ ) ___ - ____

E-Mail:____________________________________________________________________

Surnames Being Researched (List 2 for Individual membership, 4 for Family Membership)

Format:  Name, Location (i.e., Smith (Eng, NY, TX)

1:                                                                             2:

3:                                                                             4:

I grant permission to post my Surnames on the CCCGS website:  [ ] Yes  [ ] No

If Yes, your email as provided above will be listed on the website as a means to contact you, if No, your surnames will be published only in the annual CCCGS Member Directory.

Meetings

Meetings are held on the second Thursday of every month at 7:00 p.m. at the Concord LDS Church, 3700 Concord Blvd., Concord, CA - just east of Farm Bureau Rd.

Queries are free to members.  You may include your below, on reverse or separately.

Query 1:

Query 2:

How did you find us:  [ ] word of mouth    [ ] Library     [ ] Newspaper    [ ] Internet     [ ] Other:_____________

When Complete, please mail to:

Contra Costa County Genealogical Society

P.O. Box 910

Concord, CA  94522-0910