PGSGC Online Membership Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please Select:New ApplicantRenewalApplicant Name: *Spouse:Complete Address: (City, State, Zip)Phone Number:Email: *EmailConfirm EmailDate:Referred By: Member Surname:Other Surnames You Are Researching:Please check which information we can publish for genealogical purposes only:Email AddressMailing AddressYour completed MEMBERSHIP APPLICATION will be filed upon payment of annual dues (Jan. thru Dec.) of $24.00. New members joining mid-year are $2.00 times the number of months remaining in the year. Make check payable to: Polish Genealogical Society of Greater Cleveland and mail to: PGSGC Membership, c/o Richard Szczepinski, 11319 Sheldon, Mantua, OH 44255-8924 Submit