JOHN MORE ASSOCIATION
DUES AND MEMBERSHIP FORM

YES, I would like to keep my heritage alive!

Enclosed are my dues for:    _____ One Year $15.00 per household

                                                    _____ Lifetime Dues Ages 0-59 years $250.00

                                                    _____ Lifetime Dues Ages 60-79 years $200.00 (over age 80 free)

Make checks payable to:  John More Association. Print this form, fill it out, and mail with your check to Judith Erikson, JMA Treasurer. Or, send an email to Judy for more information.



Full Name______________________________________________________________________________

Street_________________________________________________________________________________

City, State, Zip, (Country if outside U.S.)_____________________________________________________

emai (required)l___________________________________ 

Phone contact: (indicate whether home, office, fax or cell)_______________________________________

JMA Genealogical Number (required) _______________________________________________________

HELP - Don't Know My Number! Send email to: JMA Director of the Record,Caryn L. Anderson


Today's Date:__________________________________