Brevard Genealogical Society Beginning Genealogy Course
Please complete this application to register for the Brevard Genealogical Society Beginning Genealogy Course. To confirm your reservation, please send your $30.00 check payable to the Brevard Genealogical Society, Inc. to:

BGS
P.O. Box 1123
Cocoa, FL 32923-1123

Course fee includes membership dues in the Brevard Genealogical Society. If you are already a paid member of the BGS please deduct $20.00 from the course fee.

Name *
Your answer
Spouse's Name
(if applying for family membership)
Your answer
Address *
Your answer
City *
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State *
Your answer
Zip *
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Home Phone *
Your answer
E-mail address *
Your answer
Where did you hear about this course? *
Check all that apply
Required
I understand *
My name, phone and email address will be printed in the Brevard Genealogical Society Annual Membership list which is available to members only.
Required
PRIVATE Mailing List *
I understand that my email address will be added to the PRIVATE Society Announcement List.
Required
Public Mailing List *
Would you like to be added to the BGS members mailing list/group?
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Signed *
Please type your full name
Your answer
Submission of this form is your electronic signature. *
Date
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