1. Your Name

2a. Enter Your Phone Number

2b. Enter Your Email

3. Purpose of the request

4. Will this change any PGS By-laws? YesNo
5. Will this change any PGS Policies? YesNo

6. Estimated financial impact of request $
Will this change any PGS By-laws? YesNo

7. What will be the source of funds to pay for the request?

8. Are you willing to come before the PGS Board of Directors to answer questions?YesNo

9. Please explain how this request will benefit the PGS membership:

For consideration at the next board meeting please allow at least 10 days prior to the monthly Board meeting (third Friday of every month) at which time your request will be discussed. All forms received less than 10 days in advance will be reviewed at the subsequent Board Meeting.
You can Upload a .txt File (10MB limit

If you would like to use Postal mail:
to Download a blank pdf Click Here
Or Hold the ctrl key + p To print form ( you can fill the information in first)
NOTE: Additional pages may be stapled to the original form as needed.
Fill out an Mail to:

Pinellas Genealogy Society
C/O Largo Public Library
120 Central Park Drive
Largo, FL 33771