Dues are $25.00 annually.

    Applicant Information

    First Name*

    Last Name*

    Company Name




    Zip Code*

    Phone Number*

    Email Address*


    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



    How will you pay for your membership? ($25.00)
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    Click the SUBMIT APPLICATION button to submit the form and advance to payment options.