New 1 Year Membership Application

Please fill out this form as completely as you can, then click the Pay Now button for secure payment of $10.00 via PayPal. You will soon thereafter be contacted by our secretary with a welcome and other membership information.

My (Our) Name(s) (Joe/Mary Smith)
My Street Address
My City
My State / Province
My Postal (Zip) Code
My Country
My Email Address
My Phone Number
Name of my Emigrant Ancestor(s)
Name of Farm my ancestor emigrated from
Year my ancestor Emigrated from Norway
Ancestor Emigrated From… (check one – this can be updated later) SIGDAL
EGGEDAL
KRØDSHERAD
$10.00