FELLOWSHIP OF BRETHREN GENEALOGISTS MEMBERSHIP APPLICATION / RENEWAL                             
     Print this form and complete with requested information



Name: ___________________________________ Date: ______________                             

Address: _____________________________________________________ 

City: ________________________  State: ____ Zip: _____________




Membership amount enclosed $ _________ ($10.00 per year)

    __  Renewal (due January 1)           __  New                




Make check payable to: FELLOWSHIP OF BRETHREN GENEALOGISTS              

mail to: Ron McAdams, 7690 S Peters Road, Tipp City, OH  45371-8933                              

                             
                  

Family surnames: _____________________________________________ 

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(List surnames alphabetically. Please do not relist previously submitted.)




If a membership card is desired, please enclose a SASE
             (Self Addressed, Stamped Envelope)

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