Jenny Wiley Association
http://www.natchezbelle.org/jenny/
Membership Application/Renewal

                                                                                            Date____________
 

Name:____________________________________________________

Address:__________________________________________________

City/State__________________________________Zip_____________

Phone:______________________  Check one:  ___New    ___Renewal

Please indicate level of membership desired:
 
Regular: ____Individual............................ $12.50 per year
____Husband/Wife.................... $17.50 per year
Student: ____Individual............................ $ 5.00 per year
Life: ____Individual............................ $50.00 (one time)
____Husband/Wife..................... $75.00 (one time)
____Add Husband/Wife............. $25.00 (one time)

Annual membership covers one year from January 1 to December 31.
Checks/Money Orders payable to Jenny Wiley Association.

Mail to:
 


Jenny Wiley Association, Inc
c/o Janie Harlow
P. O. Box 484
Paintsville, KY 41240

++Please share your family research by enclosing a copy with this application.

Return to Menu

Copyrighted 1999 The Jenny Wiley Association -All Rights Reserved
Contact the Webmaster
for questions/problems about this page.