NUCKOLLS SOCIETY MEMBERSHIP Application
Membership - $15.00
A membership is from January 1 through December 31 each year
_______New _______Renewal _______Change Of Address
Pro-rated Chart for Annual Dues.
If renewing after June, please
remit dues for following year.
|
Month Joining |
Amount to Submit |
| January | 15.00 |
| February | 13.75 |
| March | 12.50 |
| April | 11.25 |
| May | 10.00 |
| June | 8.75 + 15.00=23.75 |
| July | 7.50 + 15.00=22.50 |
| August | 6.25 + 15.00=21.25 |
| September | 5.00 + 15.00=20.00 |
| October | 3.75 + 15.00=18.75 |
| November | 2.50 + 15.00=17.50 |
| December | 1.25 + 15.00=16.25 |
(Please Print) NAME________________________________________
ADDRESS_________________________________________
CITY____________________________________STATE______ZIP___
Email address______________________________________________
Home page address_________________________________________
PLEASE LIST YOUR surnames. If you and YOUR spouse are both searching,
please list the surnames for each of you.
____________________ ____________________________
__________________________ __________________________
Please list your direct line ie: Knuckles, John A, John M, George W, James.
_________________________________________________________________________________
The society is organized exclusively for charitable, educational , research and scientific
purposes
as outlined in Section 501 (C) (3) of the Internal Revenue Code
of 1954.
Please send me the source document DVD (over
7GB of data) for an
additional $8 _______________
Total Enclosed $ _________________
Send your completed Member Application and a check made payable to NWK to:
Nuckolls Worldwide Kindred Society or NWK
c/o
Sandi Koscak
5010 Meadow Circle
Las Cruces, NM 88007