Ford Genealogy Club Enrollment

Member Name and Information:

Name    _________________________________________________

Address _________________________________________________

        _________________________________________________

City    _________________ State ______ ZIP ______________

Phone: Home __________________    Work __________________

      Other __________________

Work E-mail _____________________________________________

Home E-mail _____________________________________________


Co-Member Name and Information:

Name    _________________________________________________

Address _________________________________________________

        _________________________________________________

City    _________________ State ______ ZIP ______________

Phone: Home __________________    Work __________________

      Other __________________

Work E-mail _____________________________________________

Home E-mail _____________________________________________

Member Status:
    Ford Employee        ______
    Visteon Employee     ______
    Ford/Visteon Retiree ______
    Agency               ______      
    Other                ______

Interests:
    Computers/Internet   ______
    Field Trips          ______
    Newsletter           ______
    Overseas Research    ______
    Cemetery Research    ______
    Other                _______________________________

Would you be interested in serving as an Officer or
Chairperson at a later date?      Yes ______   No ______

Comment or reason for joining  _________________________

________________________________________________________

________________________________________________________

May we publish your information to the membership?
Yes ______   No ______

Dues are $12.00 per year.

Please make check or money order payable to "Ford Genealogy Club"
and send to:
  Ford Genealogy Club
  P.O Box 1652
  Dearborn, MI 48121-1652 
or 
  bring to the next FGC meeting.

Web site: http://www.fgc.miprofgenie.com/	(May 2008)