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The Bolles Family Association needs your help in updating your family records. Please complete this form and send it to:
Genealogist Bob Bolles, P. O. Box 355, Livingston, NJ 07039-0355
E-Mail: genealogy@bollesfamily.org
Name_________________________________________________ Bolles #________ Spouse___________________
Last First MiddleStreet
________________________________________ Apt. #______ Telephone(_____)__________________
City__________________________________________ State_______ Zip + 4___________________________
Birth Year__________ Place/Birth________________ E-Mail___________________________________________
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Child #1: Name__________________________________Street: _________________________________ Apt #____City, State, Zip ___________________________________Birth Date :____________ Spouse:__________________ |
Child #2: Name__________________________________Street: _________________________________ Apt #____City, State, Zip ___________________________________Birth Date :_____________ Spouse:__________________ |
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Child #3 : Name__________________________________Street: _________________________________ Apt #____City, State, Zip ___________________________________Birth Date :_____________ Spouse:________________ |
Child #4: Name__________________________________Street: _________________________________ Apt #____City, State, Zip ___________________________________Birth Date :_____________ Spouse:__________________ |
If needed, attach additional sheet using same format. Click for form ΰ
(This form copied from The Bolles Family Association Web Site - http://www.bollesfamily.org)
BFA:beb:11-01
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _BOLLES FAMILY ASSOCIATION MEMBERSHIP APPLICATION
2007 Membership dues of $10 are due the first of each year. 2007
(Membership includes a subscription to The Bolles Family Newsletter)
Name________________________________________________________ Spouse___________________________
Last First MiddleStreet
________________________________________ Apt. #______ Telephone(_____)__________________
City__________________________________________ State_______ Zip + 4___________________________
Bolles # (& Letters) ________ Birth Date__________ E-Mail___________________________________________
Children Living at Home: Names/BirthDates_____________________________________________________
Parents Names___________________________________________________ Book #_____________
Grandparents____________________________________________________ Book #_____________
Dues Enclosed @ $10 per year ___ Renewal Membership card will be mailed
(circle below) ___ New Member .Membership card & decal will be mailed
2007 2008 2009 ___ Extra decals ...$2.50 each; specify number ordered
TOTAL AMOUNT REMITTED $___________
>Make check payable to: The Bolles Family Association
ΰ Mail to: Ardith Montelius, 2nd VP-Membership, 10125 Roseton Avenue, Santa Fe Springs, CA 90670
Members whose dues are in arrears will be removed from The Bolles Family Newsletter mailing list.
(This form copied from The Bolles Family Association Web Site - http://www.bollesfamily.org)
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