PGSGC Online Membership Application - Polish Genealogical Society of Greater Cleveland

MEMBERSHIP APPLICATION

New Applicant
Renewal

Name

First

Last

Spouse

Address

City

State

Phone

genealogical purposes Date

Email

Date

Referred By

Member Surname

Other Surnames You Are Researching

Please check which information we can publish for genealogical purposes only:

Email Address
Mailing Address

Your 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. Pay via PayPal at https://pgsgc.org/join/membership-application or Make check payable to: Polish Genealogical Society of Greater Cleveland and mail to: PGSGC Membership, c/o Thomas Kaschalk, 795 Primrose Dr., Seven Hills, OH 44131