Provide the Following Basic Information
Name***
Address 1 ***
Address 2
City ***
State and Zip Code ***
Phone No. ***
Email Address
MEMBERSHIP FEES	One Year	Two Years	Three Years
US and Canadian Members	$20.00	$35.00	$45.00
Overseas Members who download the Red Tower from our Website "Members Only" Area	$20.00	$35.00	$45.00
Overseas Members who Require a Hardcopy Red Tower by mail	$25.00	$45.00	$55.00
Click one of the 9 checkboxes, above, to indicate your category and the amount you paid.
Payment Was Made By: (check one)	Thru Online Store By Check
USA and Canadian members check your Choice at the Right for your Red Tower delivery method	I will download from the Website
	I require a mailed hardcopy

*** Required information. If any of these are blank, you will see a page listing thefields remaining to be filled out after the [SUBMIT] button (at the bottom of this form) is clicked. Click your browser back-arrow to return to this page, fill out the missing information and click on [SUBMIT] again.

How did you hear about the CGA? (you may also enter any comments or questions in this text box)

Now, fill out the family history form , below.

GALBRAITH FAMILY HISTORY CHART

GENERATION 1 Full Name Birth Date BirthPlace Marriage Date Marriage Place	You	Your Spouse
GENERATION 2 Full Name Birth Date BirthPlace Death Date Death Place Marriage Date Marriage Place	Your Father	Your Mother
GENERATION 3 Full Name Birth Date BirthPlace Death Date Death Place Marriage Date Marriage Place	Galbraith Grandfather	Galbraith Grandmother
GENERATION 4 Full Name Birth Date BirthPlace Death Date Death Place Marriage Date Marriage Place	Great-Grandfather	Great-Grandmother
GENERATION 5 Full Name Birth Date BirthPlace Death Date Death Place Marriage Date Marriage Place	G-G-Grandfather	G-G-Grandmother

GALBRAITH FAMILY HISTORY CHART PAGE 2

*** Note: You must pay at our online store or send a check by mail before your membership acceptance can be completed.