
The Cuban Genealogy Club of Miami, FL., Inc.
Application for Membership
Address__________________________ City________________________
State_____ Country_____________ ZIP/Postal Code_____________
Phone (
)____________________
E-Mail_______________________
Dues (1 Year Membership) $25
Make check payable to : Cuban Genealogy Club of Miami, Florida, Inc.
____________________ ____________________
____________________ ____________________
May We List Your Information ?
1) At the web site Y N
2) In our newsletter Y N
Please mail this form and payment to
Cuban Genealogy Club of Miami, Florida, Inc.
3945 Hardie Road
Coconut Grove, Florida 33133
$25 Membership dues for 1
year ____________ to _______________2003
You will receive your membership materials within 30 days.