Village Genealogical Society
Membership Application


Complete the application below online with the required information. Then follow the further instructions below.
Enter the name(s) of everyone in your household who wish to be active members.

Type Membership

 

Full Name

eMail Address

Full Name

eMail Address

Street

City

State

Zip Code

Phone #

User Name

Password

Disclaimer Statement: I am willing to have the following personal information shared with other VGS members:
Select all that are applicable. We will not share your information with any 3rd parties.

                   

Date

Amount

Check #

Make check payable to VGS for $20.00. Covers all family members for one year.
Registration runs from September 1 to August 31 (due by November 30).

Print this application and bring it to a meeting or mail it along with your check to:
Barrie Gauthier
11 Heraldia Lane
Hot Springs Village, AR 71909

FOR VGS USE ONLY

Date Received

Amount

Cash

Check #