EGHS - Membership Form

EGHS - Membership Form EVANGELINE GENEALOGICAL & HISTORICAL SOCIETY
Attn: Treasurer
P. O. Box 664
Ville Platte, LA 70586

Yearly Dues Amount: $15.00 per person; $18.00 for a couple and $25.00 for an institution

Link to text file for easy printing

Please print out and mail in with the appropriate dues.
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NAME:______________________________________________________

ADDRESS:___________________________________________________

CITY:________________________ STATE:_______ ZIP:___________

PHONE:(area code)_______ (number)__________________________

EMAIL:_____________________________________________________

CIRCLE ONE:

RENEWAL MEMBERSHIP

NEW MEMBERSHIP

If you are a new member, list the families you are interested in:

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