Gottscheer Heritage and Genealogy Association

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New Member or Current Member Renewal Form

Annual fee (Fiscal year July 1- June 30) in U.S. dollars is $25.00. Annual family membership is $30.00.
New members joining after January l through April 30th pay half the individual rate of $12.50
(or family rate of $15.00), then pay the full annual fee of $25.00 in July. Individuals joining
after May 1st pay the full rate of $25.00 with membership effective July l, the new fiscal year.

To pay by check, make your check payable to GHGA (payable through a U.S. bank)
and mail it with the completed application to
Kate Baum, GHGA Treasurer
12720 Robinia Cir Spc 12
Sonora CA 95370-5213
To pay by using PayPal, choose the membership rate below. Then complete the on-line form
for your connection to Gottschee. The information will be received by Membership.


  Pay via
$12.50 Individual (Jan-April)
$15.00 Family Rate (Jan-April)
$25.00 Individual Annual
$30.00 Family Rate Annual

Date ____________________ New Member ____ Current Member Renewal ____ Member number___

Name___________________________________________________________

Street Address____________________________________________________

City___________________________________State/Province______________

Zip/Postal Code ________________________ Country____________________

Telephone (________)__________________________

E-mail address____________________________________________________

Your connection to Gottschee:

Name of ancestor (or family surname)______________________________________

Relationship_______________________________________________________

Name of Village and house number________________________________________

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