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.
1.
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2.
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3.
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4.
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5.
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