| TO: |
Frank Rura
Membership Chairman
3052 Rogers Ave.
Ellicott City, MD, 21043
E-Mail: frank9111@verizon.net
Ph: 410-465-4778
|
APPLICATION FOR MEMBERSHIP
(Please Print)
| Name of Applicant: | ________________________________________ |
| (Claiborne Descendant) |
Spouse: _______________________________
| Mailing Address: | ___________________________________________________ |
| ___________________________________________________ |
| ___________________________________________________ |
Tel: _________________________
Fax: _________________________
E-Mail: _______________________
Name of Descendants (if known) __________________________________
Please include a pedigree Chart if you have one. Include at least 4 generations
Are you interested in sharing genealogical knowledge: yes _____ no _____
Signature __________________________________
Amount Due: Application fee ($20) plus
First year dues ($10) = $30 ____ or Lifetime Membership option of $200 _____
|
