APPLICATION FOR MEMBERSHIP OR RENEWAL

               The Decatur County Genealogical Society, Inc.

                            P.O. Box 1388

                      Bainbridge, GA 39818-1388

Date:__________________
Enclosed is $___________ for membership dues in the Decatur County Genealogical Society for the calendar year 2015. 
 
Please check one of the following:
______ Individual membership $20.00
______Family $25.00
Please check here: _______New Member Or _______Renewal
Please type if possible or print very clearly:
Name: _________________________________________________________________
Address: _______________________________________________________________
City:_____________________________________State:_______ Zip:______________
E-mail address:__________________________________________________________
(Optional ) telephone number:_______________________________________
The following is a list of the family surnames in which I am interested.  
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     Copywrited 2013, Decatur County Genealogical Society, Inc.