Please print this page and return to address shown below.
Membership- NEW or RENEWAL (Circle One) Date________________________
Type of membership desired:
Underline one:
Single
Family
Student
$15.00
$20.00
$5.00
New Members or Renewals
1. Make Checks payable to the Bedford Genealogical Society
2. Send completed application & check to:
Membership Chairman
Bedford Genealogical Society
201 East main St.
Bedford, VA 24523
Mr. Mrs. Miss Ms. (Circle One)______________________________________________________
________________________________________________________________________________
Street Address
City
State
Zip Code
Telephone Number______________________ Email Address_______________________________
Bedford County Names you are researching:
__________________________________________ ____________________________________
__________________________________________
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