LOWER COLUMBIA GENEALOGICAL SOCIETY MEMBERSHIP APPLICATION
TO: MEMBERSHIP CHAIR
LOWER COLUMBIA GENEALOGICAL SOCIETY
P.0. BOX 472
LONGVIEW, WA 98632-7306Today's date:______________ New member _________________
(prorated after July 1)Renewal _____________________
Enclosed is my check for:
_______ Membership Fee (Jan.1-Dec. 31)
$15/year per Individual or
$22.50/year Family (at one address)
_______ Tax-deductable Gift (optional)
_______ Total Enclosed
Checks may be made payable to LCGS.
NAME___________________________________ (If Family, name of Spouse, etc. ____________________________PHONE_____________________________________________
ADDRESS_____________________________________________________________
(Street or P0 box) City State ZIP
E-MAIL:_______________________________________________________________
WEB PAGE ADDRESS, if any:______________________________________________________
SURNAMES I AM RESEARCHING: ______________________________________________________________________
______________________________________________________________________
Please indicate if any of the surnames have Southwest Washington or Northwest Oregon, connections:
____________________________________________________________________________
QUERY: _______________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________ ________________________
_______________________________________ ________________________________________
_______________________________________________________ ________________________
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