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Member Information

First Name*

Last Name*

Email Address*

Has your contact information changed?
Select one: yesno

Please provide your updated contact information

Do you provide genealogical services?
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Are you currently accepting clients?
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Do you manage record collections?
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For which organization?

Website Listing

We publish a listing of members’ names, contact information and research services on our website. Is your listing accurate? See current directory
Select one: yesno

Please provide any changes

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 contact information to display

Display Street AddressTown/State/ZipPhoneEmail

Volunteer Opportunities

Let us know if you would like to
Distribute CPGC brochures in your areaVolunteer with NERGCParticipate in our Ancestor Road Show

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Payment

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Click the SUBMIT APPLICATION button to submit the form and advance to payment options.