Beginning Genealogy Course Registration
Please complete this application to register for the Brevard Genealogical Society Beginning Genealogy Course. To confirm your reservation, please send your $20.00 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 from the starting date of the course through December 31 of the calendar year. If you are already a paid member of BGS please deduct $10.00 from the course fee.

Name
Your answer
Spouse's Name
(if applying for family membership)
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Address
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City
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State
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Zip
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Home Phone
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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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