Please print this page and mail, along with your check made out to JGSPBCI, to:
Jewish Genealogical Society of Palm Beach County, Inc.
P.O. Box #7796
Delray Beach, FL 33482-7796

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MEMBERSHIP APPLICATION
Annual Fees
Individual $25.00  Family $36.00
Donor $50.00
Patron $100.00
Life Membership:
Individual $200
Family $300

PLEASE PRINT

Membership Category:

Total Amount enclosed:

Name(s)

State________ Zip ___________

Phone

Email

SEARCHING SURNAMES

SEARCHING TOWNS OR AREAS OF INTEREST

In terms of genealogy, I/we describe ourselves as (please circle one):

(1) Beginner      (2) Intermediate     (3) Expert

For futher information, contact:
Sandy Hirschhorn, President JGSPBCI
sandy@jgspalmbeachcountry.org