Name: ___________________________________  E-mail address: _________________

Address: ___________________________________________ Phone: _______________

City: ___________________________________   State: _________   Zip: ____________

Personal Web Page Address: ________________________________________________

The Maryland Genealogical Society, established in 1959, welcomes as members any persons interested in genealogy, heraldry, history or biography, either amateur or professional. You are cordially invited to become a member and to participate actively in the work of the Societies.

Dues for Individual or Family Membership
 include joint membership in
The Maryland Genealogical Society and
The Maryland Historical Society

Individual Membership @ $65: _________                             Family Membership @ $80: ________

Seniors (70+) Membership @ $25: ___________  (MdGenSoc membership ONLY!)

Payment may be made by personal check, money order or VISA/Mastercard. Subscriptions for Individual or Family Membership should be made payable to : The Maryland Historical Society.  If you are a senior (70+) and prefer membership only to the Maryland Genealogical Society, please make your check payable for $25 to: The Maryland Genealogical Society.

Charge to VISA ________  Mastercard _________

Account Number: __________________________ Expiration Date: ________________

Signature: ______________________________________________________________________________

Please mail this form to:

MHS/MGS Membership
201 West Monument Street
Baltimore, Maryland 21201