Genealogical Society of Santa Rosa County
P O Box 3
Milton, Florida 32572-0003
Applicants Name: ______________________________________________
                               First                  Middle and/or Maiden                 Last
Address: _____________________________________________________
City: ___________________ State: ____________________Zipcode:_____     
                                      
Phone: ______________________Email:____________________________

Please list the surnames being researched below:

Surname                                       City County State                       Time Frame
1._____________________         _____________________           __________
2._____________________         _____________________           __________
3._____________________         _____________________           __________
4._____________________         _____________________           __________
5._____________________         _____________________           __________
6._____________________         _____________________           __________
7._____________________         _____________________           __________
8._____________________         _____________________           __________

Special Projects:

Check those you would like to volunteer for: ___Newsletter ___Programs

___Library Volunteer ___Look Ups ___Transcription Projects ___Club Officer

___Board Of Directors ___ other (Please Define):______________________

           ______________________________________________________________
        Meetings Every Third Saturday of the Month 10:00 A.M. At Milton Public Library
         ================================================================
           Please send your check for Annual Membership of $15.00 per individual, $25.00 for husband and wife, or a
            Lifetime Membership for $100.00 to:           GSSRC
                                                          P O Box 3
                                                          Milton, Florida 
                                                          32572-0003