Computer Genies of NW Iowa

Membership Form

Last Name ______________________ First Name ________________________ Date ________________

Address ____________________________  City  _______________ State ___________ Zip ___________

Email address ____________________@ ____________________ Phone ______________________

New Member ______or Renewal ______   Year I first joined the Genies __________

 Spouse's Name ___________________________   My birth date (year is optional) _______________

Annual dues are to be paid by the January meeting in the amount of $10.00 per person. No family/group memberships. Dues are discounted for new members who join in the middle of the year. If you are a first-time member, please check the applicable dues for the time period you are joining the society.

 ___ January-March ($10.00),   ___ April-June ($7.50),   ___ July-Sept. ($5.00),   ___ Oct.-December ($2.50)  

No email?  Include an additional $5.00/year if you don't have email or internet access. We will mail meeting notices, newsletters, and other information to you.

Send this form with your check to:  Computer Genies of NW Iowa, c/o Le Mars Public Library, 46 1^st Street SW, Le Mars, IA  51031.  Or you may give the form and check to any current officer.  Thank you!

Please complete the following informational survey to help us learn how we can better help one another.

Genealogy experience:  ____ Beginner,   ____ Intermediate,   ____ Advanced

Computer experience:   ____ Beginner,   ____ Intermediate,   ____ Advanced,  ____ I don't have a computer

Genealogy software program(s) I use:  ____ None,   ____ Family Tree Maker,   ____ Brother's Keeper,

     ____ PAF (Personal Ancestral File),   ____ Legacy,   ____  RootsMagic,  ____ Ultimate Family Tree,

    Other (please list):  ________________________________________________________________________

Surnames (Last Names)  I am researching: ___________________________________________________________________

      _______________________________________________________________________________________

States and/or countries I am researching: ________________________________________________________

     ________________________________________________________________________________________

I have:   ____ a desktop computer,  ____ a laptop computer,  ____ no computer yet

What length of programs work for you? (Check all that apply)

                ___ 1-2 hours (normal monthly programs)

                 ___ half-day (occasionally for special longer programs), 

                ___ all-day seminar (occasional program to accommodate a special program or speaker)

The club will provide a membership booklet to all members that would include your name, address, phone #, birthday, a picture, etc.  This would be available either as a printed booklet or on a "members only" section of the website. Do you have any objection to being included in this? Circle:  no     yes

In the space below, please write a biographical paragraph (for the membership book) telling a little about yourself:  your life, your family, your occupation and hobbies, how you got started in genealogy, what projects you're working on currently and  what you hope to do in the future, etc.