Membership Application

Tree2

Southwest Mississippi Genealogical Society
P. O. Box 175
McComb, MS  39648

 New Member Form

Name: _______________________________________________________________

Address: _____________________________________________________________

_______________________________________________________________________

Phone: __________________________________________

E-mail: _______________________________________________________________

What families are you researching?
_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Please return this form with your check for $15.00 for an individual membership or $25.00 for a family membership to the above address.  Membership runs from June 1
to May 31.