WORSTEN
Genealogical Society

Membership Application Form

 

Forename (s)   ..........................................................................................................................

 Surname   .................................................................................................................................

Maiden name   ........................................................................................................................

Date of birth   ..........................................................................................................................

 Address   .................................................................................................................................

   ................................................................................................................................................

e-mail    .....................................................................................................................................

 http://   .....................................................................................................................................

Tel.    ........................................................................................................................................

Language (s)   ........................................................................................................................

Research subject (families of my ancestors)   ...................................................................

   ................................................................................................................................................
I wish to become a ordinary (benefit*) member of the Worsten Genealogical Society.
I send my membership dues of   ....................   for the year   ..........................
by postal order  to the following address:

Worsten Genealogical Society
P.O. Box 312,  PL-50-950 Wroclaw 2
 

Date   ........................................     Signature   ......................................................................

For persons under 16 years:

We, the parents, allow our son (daughter*) to be enrolled as a member of the Worsten Genealogical Society.

                                                                 ....................................................................
                                                                              signatures of parents

European Distant Cousins
Foraj kuzoj el Eŭropo

Genealogical site
Genealogia retejo
Startpages (indexes) of regional sections: Alsace • Baden • Belarus • Bessarabia • Bohemia • Bukovina • Galicia • Greater Poland • Kujavia • Kujavia-Pomerania • Lithuania • Little Poland • Lodzkie • Lorraine • Lower Silesia • Lubelskie • Lubusko • Masovia • Moravia • Opolskie • Palatinate • Podkarpackie • Podlachia • Pomorskie • Silesia • Slovakia • Swietokrzyskie • Ukraine • Upper Lusatia • Upper Silesia • Varmia and Masuria • Vistula Pomerania • Volhynia • West Pomerania • Wuerttemberg

Update: March 2005

Please write to Worsten

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Aktualigo: marto 2005

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