Membership Registration Form
Member Information:
First Name:   Required
Last Name:   Required
Family Member First Name:   (Only if "Family" Membership)
Family Member Last Name:   (Only if "Family" Membership)
Address:   Required
Address 2:  
City:   Required
State / Province:   Required
Postal Code:   Required
Phone:   Required, Formatted as (000) 000-0000
Cell Phone:   Formatted as (000) 000-0000
Email:   Required
Membership Options:
Registration Type: New
Renewal
Please make a selection.

Membership Type: Individual ($22)
Family ($27)
Lifetime ($400)
Please make a selection.

Donation Options:
I would also like to make a donation to the Virginia Room. Please add
$ to my dues to cover this donation.
I would also like to make a donation to Stern NARA. Please add
$ to my dues to cover this donation.
Volunteering:
The FxGS is a volunteer society. Please consider becoming part of this wonderful group of dedicated individuals. For each category below, please enter the committees, activities, or talents you would like to contribute.
Committees:
Programs, Conferences, Newsletter, Marketing, Records, Projects, Education, Membership
Activities:
Set up/clean up (meetings, classes), Help with fall fair, Help with annual spring conference, Proofread/help edit newsletter, Help prepare surname list. Distribute flyers, Write a newsletter article, Help with mailings, Make phone calls, Lead a field trip, Teach a class, Staff FxGS booth at events, Lead or assist with a project, Transcribe, Assist with quality project reviews, Lead a special interest group, Develop procedures manual
Special Skills or Interests::
Grant Writing, Legal Advice, Records Retention, Trusts and bequeaths, Other
Surname Exchange List:
Please provide a list of Surnames Being Researched with County and State or Country and time period:

Human Validation:
Check this box:   and enter code