TIPCOA Membership Form

Tippecanoe County Area Genealogical Society Membership Form 2020
      
Dues are for one year and run from January 1 through December 31.

  Name: __________________________________  Address: ___________________________________

 City: ________________________________________________   State : __________  Zip Code: _____________

 Telephone: ( _____ ) __________________________  E-mail: ________________________________________
 
Your membership includes newsletters from our Society sent by email.  

       w     New Member ______     w     Individual  $12 ______     w    Family  $15 ________
  Are you a member of the Indiana Genealogical Society? ____________________  

     
    Please Make Check Payable to TIPCOA and return to: 
  TIPCOA,   P.O. BOX 2464,  West Lafayette, 47996 .
  

  --   Please write TIPCOA MEMBERSHIP on your envelope.



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