Gwinnett Historical Society
Membership Application

Please fill in all of the information below. Click on the Submit button, then print the next page and mail it to GHS with your dues.

This information will be used for the Membership & Genealogy Departments of GHS


Members Information

Company Name
Salutation
First Name
Last Name 
Street
City
State
Zip Code + 4
You can look on your mail for the full Zip + 4 Zip code.
Proximity Code:
Home Phone Work Phone
Occupation
E-Mail
Place of Birth
Date of Birth
Example 05/13/1945
This is for Genealogy info for future generations.

Membership Type / Dues:  

Father's Information

Father's Name 
Father's Birthplace
Father's Date of Birth 

Mother's Information
Mother's Maiden Name 
Mother's Birthplace 
Mother's Date of Birth

Spouse's Information
Spouse's Last Name
If Spouse is Female use her maiden name
Spouse's First Name 
Spouse's Work Phone 
Spouse's Occupation
Spouse's Place of Birth 
Spouse's Date of Birth

Spouse's Fathers Information
Spouse's Father's Name
Spouse's Father's Birthplace
Spouse's Father's Date of Birth

Spouse's Mothers Information
Spouse's Mother's Maiden Name 
Spouse's Mother's Birthplace
Spouse's Mother's Date of Birth

Families being researched:


I am interested in Volunteer work in the following committees.

You will not be required to work on the committee (s) you chose 
You may be called and asked if you could do something for the committee.
You always have the right to say no or that you do not have the time right now. 


Office Staff      Genealogy      Library

Telephone (done from home)      Elisha Winn Fair

Preservation    Cemeteries      Newsletter

Winn House Restoration    

I would like to have my Name & Address made available to other GHS member’s searching for the surnames I am researching.


 I would like to have my Name, Address & E-mail made available to other GHS members via the member’s only section on the GHS web site for members searching for the surnames I am researching.

I would like my four generation family tree file made available on the web site

Please pick a User Name and Password to enter the Members Area of the web site.
Your user name and password will be added after your dues are received and you will be notified by E-Mail when your user name/password have been added.

User Name
Password 

Membership dues are payable January 1st of each year.