Membership Application Form

CONTACT: Information in this section must be filled in *.

Surname*

Given Name*

Street or P.O. Box*

City*

Province / State*

Zip/Postal Code*

Country*

Email*

CONTACT: Optional
Why do we need your phone number? The most important means of contact is your email address. If it is mistyped, the easiest way to get it corrected is a quick phone call. Otherwise we have to send a note by regular mail.

Phone

Registration Information:
Please click buttons as applicable

New Registration

Renewal

Individual Membership

Family Membership

Institutional Membership

I will make payment by way of:

PayPal Online (For optimal results use the Chrome browser) Cheque by regular mail

Volunteer:
If you have any skills you are willing to share with us, please indicate below. Show any other skills in Comments Box below.

Research	Secretarial	Publishing	Graphics
Financial	Website	Databases	Publicity

Language:
Can you help with translations? If so, please indicate which and your skill level. Basic skills below means ability to translate records. Fluent means ability to translate articles or other extended text documents. Note any others in Comments Box below.

German to English	Fluent Written Basic Skills None
English to German	Fluent Written Basic Skills None
Polish to English	Fluent Written Basic Skills None
English to Polish	Fluent Written Basic Skills None
Russian to English	Fluent Written Basic Skills None
English to Russian	Fluent Written Basic Skills None

Comment:
Use this space to add any other pertinent information such as additional family names for Family Registration. Please do not ask questions here. For questions, please use the Contacts Page.