Alexander Harper Family Society Membership Request Form
Title: Mr. Mrs. Ms. First Name: Last Name: Street Address: Apt./Unit# Street Address2: City: State/Prov: Choose a State/Province Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Zip: Daytime Phone: FAX Number: E-mail:
Note! the e-mail address supplied above will be used as a name for access to the 'Members Only' area of the family web site. 18th Century Relative in your direct ancestory (if you know):
How did you hear about us?
?? Family Newsletter Relative Western Reserve Historical Society Reunion This web site
Comments:
After clicking on 'Send Membership Request' a message will automatically be sent to our Secretary Julie Noble notifying her of your request.
You will see an Invoice for $15.00 for your annual membership and the name and address to send a check or money order for your dues.
After payment you will receive your family directory, be put on the mailing list for the 'Harper Herald' and given access to the 'Members Only' portion of the family web site.