THE CHOCTAW COUNTY GENEALOGICAL SOCIETY

Chartered July, 2001

MEMBERSHIP APPLICATION

 

Please print or type:

 

Mr./Mrs./Ms.     NAME:__________________________________________________

 

STREET: __________________________ E-MAIL ADDRESS: _________________

 

CITY: ____________________ STATE: __________________ ZIP: ______________

 

HOME PHONE: _____________________WORK PHONE: ____________________

 

CCGS Membership runs for the calendar year (January through December) with renewals due by February 28th of each year. A member whose dues are not paid by March 1st will be considered delinquent and will be removed from membership.

 

PLEASE LIST THE NAMES OF THE ANCESTORS FOR WHOM YOU ARE SEARCHING IN ORDER THAT OTHERS MAY HELP.

 

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