Write check to PETER KIVETT FAMILY ASSOCIATION, INC.

Mail to above address by December 15th each year

You will receive a membership card and receipt from the PKFA, Inc.

Date: __________ New Member: ___ Renewal: ___

Individual Member: $______ Household: $________

Donation* $_________________________________________

Total Amount Submitted $________________________

Name:_____________________________________________

Address: __________________________________________

City: _______________________ State: ___ Zip: _______

Phone: ( ____ ) ________________

E-Mail: ____________________________________

Surnames of Interest: ________________________________
________________________________________________________
________________________________________________________

1.   Have you already traced your family tree? Yes __ No__                   

2.   Are you a descendant of the Kivett surname? Yes __ No__               

3.   Are you a descendant of a person buried in McMasters Cemetery?

  Yes __ No__  Who? ___________________________________________            

 ________________________________________________________

If yes to question 2 or 3, are you willing to share your genealogy information with PKFA, Inc.? Yes __No __

If you haven’t already traced your family tree, would you like help doing so? Yes __No__