HOME‎ > ‎

Membership Application

If you are interested in joining Cleveland Italian Ancestry Organization (CIAO) please complete the following information and send it, along with the $20.00 membership fee, to the following address: CIAO, 28549 Stonegate Circle, Westlake, Ohio 44145.

 


Date: __________________________________ _

Name: __________________________________
Address:  _________________________________
City:____________ State: _______ Zip: _________
Phone: (_____)-_____-______________
Email Address: ____________________________


RESEARCH INTEREST

Paternal Surname: ___________________  Town or City: ______________________
Province: _____________________________  Region: ________________________

Paternal Surname: ___________________  Town or City: ______________________
Province: _____________________________  Region: ________________________

Maternal Surname:
___________________  Town or City: ______________________
Province: _____________________________  Region: ________________________

Maternal Surname: ___________________  Town or City: ______________________
Province: _____________________________  Region: ________________________
 
 
Comments