CHERS Membership Form

	Please fill out, print and mail form:
Name
Address
City & State
Zip Code
Home Phone
Work Phone
Email Address
List Surnames you are researching
	Check all that apply:
	Publish my email address and research names on the members only area of the CHERS SITE

	Do not publish my email address and research names on the members only area of the CHERS SITE

requested user name for members only section of the website:
requested password for members only section of the website:
	CHERS Membership @$25
	additional immediate family members @ $5 each

	Check Amount Total

Send full payment and completed registration form to:

CHERS
PO Box 6982
Slidell LA 70460

*** For your records, you may want to print and extra one of these forms to save the addresses below.
Our Website is http://www.creolehistory.com
Our email list site is: http://groups.yahoo.com/group/chers/
You will need to sign up for the email list in order to recieve announcements of online meetings etc.***

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