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 $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 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 $20.00 from the course fee.
Sign in to Google to save your progress. Learn more
Name *
Spouse's Name
(if applying for family membership)
Address *
City *
State *
Zip *
Home Phone *
E-mail address *
Where did you hear about this course? *
Check all that apply
Required
I understand *
My name, address, 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?
Required
Signed *
Please type your full name
Submission of this form is your electronic signature. *
Date
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brevard Genealogical Society. Report Abuse
Google Forms