East European Genealogical Society

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NEW MEMBERSHIP APPLICATION



Membership is based on the calendar year (January 1 to December 31). The fee is $38 per year and will include all Journals for the year.

To become a member of the society and pay on-line, please complete the following form:

[*] Denotes a Required field
Create Member Login
E-mail Address:	*
Password:	*
Re-enter Password:	*
Please retain the email address & password entered above as your member login for the website.
First Name/Organization:	*
Last Name:
Name Details:	Contact/Build./Dept./Section (i.e. "c/o John Doe" or "East Europe Dept.")
Mail Address 1:	Street Address (i.e. "123 Somewhere Avenue") *
Mail Address 2:	PO Box / RR / Gen. Del. / etc. (i.e. "Box 73, Group 23, RR1)
City:	*
Province/State:	Select AB BC MB NB NL NS NT NU ON PE QC QC SK YT *
Postal Code/Zip:	*
Country:	CANADA USA Other *
Telephone (Home):
Telephone (Other):
Your new EEGS membership commences with the year

Payment
Membership:	years @ $38 / year =	CAD
	Charitable Donation =	CAD
	Canadian tax receipt for amounts over $10.00
	Total:	CAD