ARIZONA SUN MEMBERSHIP FORM

Dues are $65.00 ($50 goes to the national, and $15.00 goes to the
local chapter for dues). Please make your check payable to the
 
Arizona Sun Chapter of AHSGR and mail to:

Arizona Sun Chapter, AHSGR
c/o Larry Haas
9518 Country Club Drive
Sun City, AZ  85373
email:  haasle@juno.com


New________  Renewal_______ Individual_______ Family________

Newsletter Only (non-member)___________ [see note at bottom]

Name(s) ____________________________________________________________

Maiden name_________________________________________________________

Address_____________________________________________________________

City ______________________ State_______Zip + 4 ___________-________

Phone Number(______) ________--_________

Email Address: ____________________________________________________

Ancestral Village (husband)______________________(wife)________________________

Family Names Researching ___________________________________________