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MEMBERSHIP APPLICATION

MEMBERSHIP APPLICATION: NEW OR RENEWAL

 

Annual Dues: Single $15.00______ Joint $25.00______Life Single $150.00______ Joint $225.00______

 

Joint  means same household and same address   Donations Appreciated $______

 

Mail To: Harrison County Genealogical Society, PO Box 301, Cadiz, Ohio 43907-0301

Checks payable to: Harrison County Genealogical Society. Please send no cash.

 

Name:___________________________________________________________________________________

 

Address:__________________________________________________________________________________

 

City:______________________________ State: _____________Zip:__________________________

 

E-Mail Address:____________________________________________________________________________

 

I would like to have my newsletter sent to me by email: Yes ____No ____

 

Are you currently a member of the Ohio Genealogical Society? Yes___ No___

 

SURNAMES will be placed in our surname file and will be made available to persons doing research in our

 

library. (Please type or print)________________________________________________________________

 

 ________________________________________________________________________________________

 

QUERY FOR NEWSLETTER (Please type or print)____________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

 

SIGNATURE:____________________________________________________________________________

 

Application updated December 15, 2010                      Home