Fellowship of Brethren Genealogists: Membership Application
FELLOWSHIP OF BRETHREN GENEALOGISTS
MEMBERSHIP APPLICATION / RENEWAL
Name : ____________________________________________   Date : ________________

Address : _________________________________________________________________

City : ____________________________________   State : _____   Zip : _______________

E-mail Address : ___________________________________   Phone : _________________

Denominational Affiliation (optional): _____________________________________________
Membership amount enclosed $ _______   ($12.00 per year for electronic subscription to journal or
                                                                    $24.00 per year for paper subscription to Brethren Roots)
____ Renewal (due January 1)

____ New
Make check payable to:
mail to:
FELLOWSHIP OF BRETHREN GENEALOGISTS
Tom Crago
6759 Showhorse Court
Colorado Springs, CO  80922-3314
Direct Ancestor surnames with known Brethren Roots: ______________________________

________________________________________________________________________

Other Direct Ancestor surnames being researched: _________________________________

________________________________________________________________________
(List surnames alphabetically. Please attach a separate list, if necessary.)


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