JGSWVO Membership Application

Name

Address

Phone

Email

Names, countries, cities, shtetls you are researching (see website for format):

|_| Check here if you’d like this information added to our Web site. Areas of interest:_______________________ Do you have any language or genealogy skills that you would be willing to share with others? _______________________________________________________ How did you learn about JGSWVO? (Friends, newspapers, synagogue posting, other?) ___________________________________________

Please send a check for $10, made out to JGSWVO,
to the following address:

Dave Jacobson
PO Box 71681
Eugene or 97401

Dues paid to JGSWVO are tax deductible.