Membership Application

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Lawrence County Ohio OGS Chapter Membership Application

New________ Renewal______Single_______Family________Total Encl.$________ What Year(s) _________

Your Name_____________________________________________________________________________

Additional Household Members____________________________________________________________

Mailing Address_________________________________________________________________________

City____________________________________________State__________________Zip______________

Telephone___________________ E-Mail Address_____________________________________________

Are you currently a member of the Ohio Genealogical Society? ______yes ______no

Lawrence County, Ohio Families Which You Are Researching:
______________________________________________________________________________________

______________________________________________________________________________________

May we share your address, email, and/or phone number with other researchers?______yes ______no Comments:

____________________________________________________________________________________

____________________________________________________________________________________

Membership dues are $10 per household ( not individual or family memberships) based on mailing of one newsletter to the address.

With your membership, you will receive our quarterly publication. Also, you are invited to attend any of our meetings which it may be possible for you to attend. Print this application, fill out all pertinent information, make check payable to LCGS and mail to:

Lawrence County Genealogical Society
P.O. Box 1035
Proctorville, Ohio 45669-1035