Membership Form

If you are interested in joining our Society, or know of someone who would be interested, please use the following form. Also if you are a member and your name and the family you are researching has not been printed in the newsletter, you should complete the following and mail it to: Alcorn County Genealogical Society, P.O. Box 1808, Corinth, Mississippi 38835-1808. The yearly dues are $20.00 per fiscal year beginning September 01. Please check Yes___ or No___ if you want your home phone number listed in our publication.

Name:___________________________________Phone Number________________________

Address___________________________________________________________________________________

E-Mail Address_____________________________

Membership Dues Paid: 2009-2010_____2010-2011_____2011-2012_____2012-2013_____

Ancestral Lines Researching, Counties and States where resided: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Use Back Side If You Need More Space.

What Talents Do You Have That You Would Like To Share With The Society? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

If Asked To Donate Time To The Genealogical Room Library, What Are The Days And Hours You Would Be Available To Work? __________________________________________________________________________________________ _________________________________________________________________________________________

What Is Your Committee Preference? __________________________________________________________________________________________

Would You Be Willing To Work On Any Committee Assigned To You? Yes_____ No_____

I understand any material obtained from the Alcorn County Genealogical Society as a whole, or from any individual, cannot be used by me for publication, without their prior written consent.

Signature:________________________________Date___________________