Membership
MEMBERSHIP
FORM
Genealogical Society of Douglas County Oregon
Douglas County Courthouse, Room 111
1036 SE Douglas, Roseburg OR 97470
541-440-6178 ~ [email protected]
New |
Renewal |
Reinstate |
Life |
Membership is from January 1 to
December 31
___ Enclosed is $15 for 6 issues of the
GSDC Newsletter only. ($20 for family)
___ Enclosed is $15 for 4 issues of the
Douglas County Pioneer only. ($20 for family)
___ Enclosed is $20 for BOTH GSDC
Newsletter & Douglas County Pioneer. ($25 for family)
___ Enclosed is $25 for Individual Contributing
Membership. ($30 for family) Includes GSDC Newsletter & Douglas
County Pioneer. This membership is designated for future goals.
___ Enclosed is $225 for LIFE membership
which includes Newsletter &/or Douglas County Pioneer.
~ PLEASE MAKE CHECKS
PAYABLE TO GSDC ~
If returning by mail,
please enclose an SASE if you want a membership card.
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This space is for GSDC staff, please do not fill in below!
Check Amount: |
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Cash Amount: |
Date: |
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DCP: 1 2 3 4 |
GSDC NL: 1 2 3 4 5 6 |