09/01/16

 

MEMBERSHIP APPLICATION

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PKFA MEMBERSHIP APPLICATION

PETER KIVETT FAMILY ASSOCIATION, INC.
7118 NC HWY 61 North
Gibsonville, NC 27249

Start your genealogy journey today!

 Annual Dues--$10.00 per person; Household--$20.00; Lifetime Membership - $100.00

[per motion adopted at 25 October 2015 annual meeting]

Write check to PETER KIVETT FAMILY ASSOCIATION, INC.

Mail to above address by December 15th each year

You will receive a membership card and receipt from the PKFA, Inc.

Date: __________ New Member: ___ Renewal: ___

Individual Member: $______ Household: $________

 Lifetime Member:  $________________________________

Donation* $_________________________________________

Total Amount Submitted $________________________

Name:_____________________________________________

Address: __________________________________________

City: _______________________ State: ___ Zip: _______

Phone: ( ____ ) ________________

E-Mail: ____________________________________

Surnames of Interest: ________________________________
________________________________________________________
________________________________________________________

1.   Have you already traced your family tree? Yes __ No__                   

2.   Are you a descendant of the Kivett surname? Yes __ No__               

3.   Are you a descendant of a person buried in McMasters Cemetery?

  Yes __ No__  Who? ___________________________________________            

 ________________________________________________________

If yes to question 2 or 3, are you willing to share your genealogy information with PKFA, Inc.? Yes __No __

If you havenít already traced your family tree, would you like help doing so? Yes __No__                          

New members are requested to send a completed

 four generation ancestral chart

for both yourself and your spouse with your membership application. This is not a requirement - only a tool to allow the PKFA to know more about you.  Don't be concerned if you are aware of only a few of these ancestors - just fill in what you know or suspect.

*Tax deductible donations in addition to non-deductible dues are gladly received to promote the non-profit activities of this 501(c)(3) educational charity, cemetery maintenance and restorations.