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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


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