Join Dues are $25.00 annually. Applicant Information First Name* Last Name* Company Name Address* Town* State* ---Alabama (AL)Alaska (AK)Arizona (AZ)Arkansas (AR)California (CA)Colorado (CO)Connecticut (CT)Delaware (DE)District of Columbia (DC)Florida (FL)Georgia (GA)Guam (GU)Hawaii (HI)Idaho (ID)Illinois (IL)Indiana (IN)Iowa (IA)Kansas (KS)Kentucky (KY)Louisiana (LA)Maine (ME)Maryland (MD)Massachusetts (MA)Michigan (MI)Minnesota (MN)Mississippi (MS)Missouri (MO)Montana (MT)Nebraska (NE)Nevada (NV)New Hampshire (NH)New Jersey (NJ)New Mexico (NM)New York (NY)North Carolina (NC)North Dakota (ND)Ohio (OH)Oklahoma (OK)Oregon (OR)Pennsylvania (PA)Puerto Rico (PR)Rhode Island (RI)South Carolina (SC)South Dakota (SD)Tennessee (TN)Texas (TX)Utah (UT)Vermont (VT)Virginia (VA)Virgin Islands (VI)Washington (WA)West Virginia (WV)Wisconsin (WI)Wyoming (WY) Zip Code* Phone Number* Email Address* Website Do you provide genealogical services? Select one: yesno Are you currently accepting clients? Select one: yesno Do you manage record collections? Select one: yesno If yes, for which organization? Website Listing* We publish a listing of members’ names, contact information and research services on our website. Please select one of the following three options: Please list my name, contact information and services on the CPGC websitePlease do not include me on your websitePlease include my name and services on the CPGC website, but allow me to specify which fields display Do Not Display Street AddressTown/State/ZipPhoneEmail Research services: Please list your research services as you would like them listed on the website. (120 character limit) Volunteer Opportunities Let us know if you would like to Distribute CPGC brochures in your areaVolunteer with NERGCParticipate in our Ancestor Road Show Comments Payment How will you pay for your membership? ($25.00) Select one: PayPalCheck Click the SUBMIT APPLICATION button to submit the form and advance to payment options.