| GENEALOGICAL SOCIETY OF ROCKINGHAM & STOKES COUNTIES, NORTH CAROLINA MEMBERSHIP ( )NEW ( )RENEWAL ____ INDIVIDUAL ($20) ____FAMILY ($25) ____STUDENT ($10) ____PATRON(Any amount over Normal Dues) ____INSTITUTIONAL ($10) ____LIFE ($300) NAME(S):_________________________________________________ ADDRESS:________________________________________________ _________________________________________________ PHONE #:________________________( )HOME ( )CELL EMAIL ADDRESS:___________________________________________ ( )SAME ( )THIS IS NEW/DIFFERENT FAMILIES:_________________________________________________ JUST PRINT THIS PAGE AND PLEASE MAKE CHECKS PAYABLE TO GSRS & MAIL TO GENEALOGICAL SOCIETY OF ROCKINGHAM & STOKES NC RE: MEMBERSHIP DUES P.O. BOX 152 MAYODAN, NC 27027 |