Member Form

Yarbrough National Genealogical & Historical Association, Inc.

If you wish to apply or renew membership online, just click the PayPal™ button

(It is not necessary to complete this form if paying online.)

Date:

Name:	Your Birth Year:

Address:	Phone:

City, State, Zip+4:

E-mail:

Name of your earliest proven ancestor:

Born:	Where:	Died:	Where:

Married:	When:	Where:

Lived in:

(Cities, counties, and/or states)

New ; Renewal ; For what period? 1 Yr.; 2 Yrs.; 3 Yrs; Other:_________

If new, how did you learn about YNGHA?

How do you wish to receive The Yarbrough Family Quarterly? On line ; Mail

Note: If requesting "online", please provide your e-mail address above. If you grant YNGHA permission to share the personal information above with other members of the Association, please check here: , otherwise, check here:

Dues are $30.00 per yr. for individual; if you wish to provide a copy of the Yarbrough Family Quarterly to a library, add $10.00 per year (sent directly to library).

Name of Library:

Address:

City, State, Zip+4:

Donation to “Growing the Family” (Promoting YNGHA membership) $_____________ .

All members are urged to send a copy (no originals) of family records to YNGHA Secretary Joanne Auspurger, #7 Deborah Drive, Bloomfield, IA, 52537-1109. If desired, include research material to be published, along with signed permission for its use.. The Secretary will distribute these materials to Archives, Publishing or Research, as appropriate. Yarbrough related announcements and/or activities from are also welcome and will be included in the Yarbrough Family Quarterly as space permits.

Please make checks/money orders payable to: YNGHA, and remit to:

James F. Yarbrough, Treasure

4225 New Hope Meadow Road

Hermitage, TN 37076-4711

Do not forget to include this completed form with your payment.

The YNGHA fiscal year runs from January 1st through December 31st. New memberships are retroactive to January of the year in which application is made.