Jackson Brigade, Inc.

Jackson Brigade Membership Form

August 1, 2014 to July 31, 2015

Please print, fill out and mail through U. S. Post.

Subscription/Dues: payable by August 31st - $20.00 per year. This includes four (4) issues of the Jackson Brigade Quarterly, membership and free queries. Make checks out to: Jackson Brigade, Inc., c/o Linda B. Meyers, 9682N Woodgate Lane, Byron, IL 61010-9556.

  ___ New Membership Dues $20.00 (covers primarily our Jackson Brigade Quarterly costs)

  ___ Renewal $20.00 ($25 if received AFTER August 31st)
 
  ___ Donations (help subsidize reunions, pay administrative costs, cemetery upkeep, and other organizational needs) $ ________________        


Name: ________________________________________________________________

Phone: (____) _____________ E-mail:___________________________________

Address: _____________________________________________________________

City: _____________________________  State: _____ Zip: _______________

If applicable, please indicate from which of John Jackson and Elizabeth Cummins' children your family descends:
___ George  ___ Edward  ___ John Jr.  ___ Elizabeth  ___ Sophia  ___ Mary Sarah  ___ Samuel  ___ Henry
The Jackson Brigade has my permission to publish my address in its annual directory.
     ___ Yes  ___ No

Page maintained by Dan Hyde, hyde at bucknell.edu Last update July 28, 2014

No guarantee on the accuracy of the data found on this web site is given or implied by the site owner. As with all family research, the researcher should strive to obtain primary documents for necessary proofs. Furthermore, permission must be obtained from the original submitter of information on this site before publishing any information found here.
Copyright © 2013
Jackson Brigade Corporation
c/o Dan Hyde
235 Stein Lane
Lewisburg, PA 17837 USA