AGGSH e.V.

Membership Application

I declare herewith that I intend to become a member of the AGGSH e.V.
( registered as Arbeits-Gemeinschaft Genealogie Schleswig-Holstein e.V.)
The membership fee is 30,- EURO per year (approx. $41 U.S. per year)

I recognize the aims of the association and undertake to pay my membership fees on a regular basis.

Last Name:...................................................................................................

Given name(s):..............................................................................................

Occupation:..................................................................................................

Postal address: Civic No. and Street:.............................................................

Postal Code:....................Place/State........................Country:........................

Telephone No.:....................................... Fax No.:.........................................

E-Mail:..........................................................................................................

Dated at:
(dd/mm/year)........................................................................................


I shall pay the membership fee by a personal check in the amount of $41 U.S.


Signed:........................................................................................................

 

Please print this and sent it by regular mail (airmail) to:

AGGSH e.V.
c/o Ursula Mueller
Meisenweg 3
24537 Neumuenster
GERMANY