Walworth County Genealogical Society

P.O. Box 159
Delavan, WI 53115

An Affiliate member of the
Wisconsin State Genealogy Society

WALWORTH COUNTY GENEALOGICAL SOCIETY

Name__________________________________________________

Address________________________________________________

City_________________________________________ State_______ Zip+4___________

Phone number (including area code): (______) ______ - ____________

email address: ____________________________________________

___________Individual $12.00 ____________Student $7.00 ____________Family $15.00
____________ Contributing Member $25.00(please check one)

Surnames you are searching:

I would be willing to help with the following projects:

_______Cemetery copying ________Indexing
_______Computer entry ________Newspaper indexing

Other:

I would like to see the following projects completed:

I do______ do not______ give my permission to have my information printed in any handouts, newsletters, or publications.

Please send copies of your pedigree charts for future publications.

Mail with your check to WCGS, PO Box 159, Delavan, WI 53115