The Cuban Genealogy Club of Miami, FL., Inc.

Application for Membership

 

Title____ First Name______________ Last Name__________________

 

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.

 

Family Names You Are Researching

____________________ ____________________ ____________________ ____________________

    

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.

 

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