Membership application/ Laf. Co. Gen Society

Lafayette County Genealogy Society

Membership // Book Order

PLEASE MAIL TO:

Lafayette County Genealogy Society
P.O. Box 443
Shullsburg, Wisconsin 53586

NAME:_________________________________________________________________________

ADDRESS:_______________________________________________________________________

CITY/STATE/ZIP:__________________________________________________________________

Phone:____________________________________________________________________________

^{Please include a SASE (self-addressed stamped envelope) for the return
of your membership card.}

Memberships (Please Check )		Please Send Books:
Individual ..... Family........... Foreign.........	$7.00__________ $10.00_________ $10.00_________	____Probate Index......................... ____Index to Marriage Records... S & H for EACH book..............	$17.00____________ $30.00____________ $ 4.00_____________
		Total Enclosed................ (U.S. Funds)	$________________
.	.	.	.
Order Form for Combined Plat Book ORDER FORM