National Grigsby Family Society

Incorporated 1981, in The Commonwealth of Virginia

 

MEMBERSHIP FORM

 

Phone No. _____-_____ - _________      e-mail ID___________________________

 

 

Check one:

Mr.

Mrs. ________________________      __________________    ________________  __________________  

Miss       Last  Name                                              First Name                                          Middle Name              Maiden Name (if applies)

  ______________________________________________________________________________________  

  Street Address or Box Number                                          City                                     State                         9-digit Zip Code  

 

____________________________________________________________________________________________________________     

Names of Children Under Age 21

 

 

Honorary Member* Age 80 or over – NO DUES________

Sustaining Member          Annual Dues of $25.00________

Husband & Wife             Annual Dues of $40.00________

  

[Life Membership information will be sent upon request]

 *Note: On October 7, 2011, at the Board of Directors meeting, an amendment to the Bylaws was made to reflect "that to be considered for Honorary Membership upon reaching 80 years of age, a person must have been a dues paying member the previous year."

 

We would appreciate copies of additional information you are willing to share, to add to our Grigsby files:

Family Record Sheets, 5-Generation Charts, narrative history of your familly line, copies of Bible records and other documentation, newspaper articles, etc.  We will copy and return your material if you cannot have copies made.

 

Mail this completed form, with check and other material to:

 

Phyllis J. Bryant, NGFS Administrator

     69 Plymouth Street 

       Medina, OH  44256-2418

 

    email:  ngfsadmin@gmail.com

 

How did you hear about the National Grigsby Family Society:__________________________________

 

 

PLEASE ENTER YOUR KNOWN FAMILY DATA IN THE FORM ON

THE BACK OF THIS SHEET

 

updated - GMB 03/02/14