Jewish Genealogical Society, Los Angeles, Membership Form

JGSLA Membership Application for Jan-Dec, 2009

Please print this page, complete the form below and mail it with your check to:

JGSLA Membership Vice President
P.O. Box 55443
Sherman Oaks, CA 91413-0443

Check one: ___ Individual @ $25 ___ Family @ $30
Thank you for additional donations to:
JGSLA Library Acquisition Fund:	_________
Hosting 2010 Conference:	_________
$25 ____ $50 ____ $100 ____ $250 ____ $Other ____
Other
Total amount remitted:	_________

Date: ____________________

Name: ____________________________________________________

Mailing address, including zip code plus 4:

______________________________________

Home phone: ___________________________

E-mail:_________________________________

Talents that you have to share (language skills, writing skills, computer skills, etc.)

_______________________________________________________________________

How did you become aware of the JGSLA? (friend, web search, specific newspaper, etc.)

_______________________________________________________________________

Membership is on a calendar year basis. If you join mid-year, dues for the full year must be paid. However, you will receive all Roots-Keys that were published during the year.

I/We adhere to the objectives of the Jewish Genealogical Society, Los Angeles and hereby submit this application for membership:

Signature / Date: __________________________________________________________