Directions: Print this form and mail to
Pike County Genealogy Society
P.O. Box 83
Petersburg, Indiana 47567-1736
Please enclose check for membership, $ 15.00 per year per person
Member Information
Name ________________________________________________________________
Address ______________________________________________________________
City ________________________ State ______________ Zip _______ / ______
Phone _____ / _____ / _______ E-Mail _________________ @ ______________________
Downloadable form also available below:
Pike County Genealogy Society
P.O. Box 83
Petersburg, Indiana 47567-1736
Please enclose check for membership, $ 15.00 per year per person
Member Information
Name ________________________________________________________________
Address ______________________________________________________________
City ________________________ State ______________ Zip _______ / ______
Phone _____ / _____ / _______ E-Mail _________________ @ ______________________
Downloadable form also available below:
| pcigssignup.odt |
