MFGS Treasurer

PO Box 2125

Lewiston, Maine 04240

Name ______________________________________________________________________

Maiden Name (if applicable)____________________________________________________

Address _____________________________________________________________________

City ________________________________________State _____________

Postal Area Code _______________

Country ____________________ Tel.___(______)__________________________________

Email Address _______________________________________________________________

Do you want your Name and Email Address to appear in our online Email Directory?

(no other info will be listed)____Yes____No

Types of Memberships:

Individual ..................$20.00

Family Members........$10.00

Lifetime......................$300.00 (15 times yearly fee)

Membership begins in the month in which dues are paid and is renewable on the anniversary of
your join date.

Make check payable to: Maine Franco-American Genealogical Society

All dues must be payable in U.S. funds.