Membership Application
Enclosed please find payment of $12.00 to cover the cost of my (our) Annual
Membership. Dues for the year beginning March, 1997 through March, 1997,
including subscription to the Society's newsletter.
Name____________________________________________________________________
Address__________________________________________________________________
City/State_________________________________________________________________
Phone____________________________________________________________________
(Check Here)____Found you on the internet.
Surnames Being Researched
1.___________________________________
2.___________________________________
3.___________________________________
4.___________________________________
5.___________________________________
6.___________________________________
7.___________________________________
8.___________________________________
9.___________________________________
10.__________________________________
(Office Use Only)
Date received___________