Brevard Genealogical Society Membership Application
Please complete this application for new membership or renewal and then submit it.  

You may pay your dues in cash at a meeting or mail a check or by PayPal.


If paying by check make check payable to The Brevard Genealogical Society, Inc.
 
Mail it to:
          The Brevard Genealogical Society, Inc.
          P.O. Box 1123
          Cocoa, FL 32923-1123


 
Annual membership dues are $20.00 per person and $25.00 per couple.
If you use Pay Pal there is a $1.00 service charge. ($21.00 for single/$26.00 for couple)

Dues are payable in December and effective for one calendar year. A member is considered delinquent if the dues are not paid by the February meeting of the new year.

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Email *
Name *
Spouse's Name
(include for family membership)
Street Address *
City *
State *
Zip Code *
Phone Number *
Is this a new membership or renewal. *
Required
How are you paying? *
Required
Are you a full time Brevard County resident? *
Required
A copy of your responses will be emailed to the address you provided.
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