MOORE COUNTY GENEALOGICAL SOCIETY, INC
MEMBERSHIP APPLICATION

DATE __________________________

NAME _________________________________________________________________

ADDRESS_______________________________________________________________

CITY____________________	STATE__________		ZIP___________

TELEPHONE____________________	EMAIL_________________________________

Check Applicable:
Membership	Renewal_____	New_____

Individual ($15)_____	Family ($20)_____	Institutional($20)_____

SURNAMES BEING RESEARCHED

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Send application and check to:
Moore County Genealogical Society, Inc
PO Box 1183
Pinehurst  NC  28374-1183