Blair
Society for
Genealogical 
Research
 
Membership Dues:   In US Funds
Yearly Members:
Annual Members
Contributing Member


$18.00*
******
$30.00*
*****

Lifetime Members:
Lifetime Membership 
Patron Membership
$250.00*******
$500.00
******+
* Members in Canada & Mexico, add $5.00 for additional postage. All others foreign locations add $10.
Membership Application
The application MUST include Your Family Chart.

Name: _________________________________________________________________________________
Maiden Name:______________________________Spouse’s name:________________________________
Name you wish used on mail:_______________________________________________________________
Address (Street number or box):_____________________________________________________________
City:____________________________________State:__________________Zip:_____________________
Telephone: (_____ )_______________________Fax: (if applicable): (_____ )________________________
E-Mail: (if applicable)____________________________________________________________________
Occupation (Former occupation if retired):____________________________________________________
How did you learn about us?________________________________________________________________
How long have you been engaged in family research?____________________________________________
Earliest known Blair ancestor (include dates or approx. dates):_____________________________________
Other surnames researching:________________________________________________________________
______________________________________________________________________________________
AMOUNT ENCLOSED FOR DUES: $_______________

Please fill out this application (Your Family Chart must be filled out or application can not be
processed) and mail it along with your check made payable to “The Blair Society” to:

Terence T. Blair
Treasurer
597 Button Road
Bedford, OH 44146-3426  USA


For Administrative Purposes Only
Received by: ____________________________ Date: ____________________________
Amount of dues rec’d: _____________________ Member Class: _____________________
Membership Number: _____________________ Date Filed: ________________________

Copies: President, Treasurer, Corresponding Secretary, Editor, Membership Committee, Genealogy Committee