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(For Renewals also)
WASHINGTON COUNTY ARKANSAS GENEALOGICAL SOCIETY
P.O. BOX 41
FAYETTEVILLE, ARKANSAS 72702-0041
WEB SITE: ~http://www.rootsweb.com/~arwcags/
Annual Dues
____ INDIVIDUAL $10.00
____ FAMILY $15.00
____ LIBRARIES & SOCIETIES $10.00
______ NEW MEMBERSHIP/ ______ RENEWAL MEMBERSHIP
DATE ______________________________________ Membership runs from 1 January to 31 December.
Name: _________________________________________________________________________________________________
Address: _______________________________________________________________________________________________
City: ___________________________________________ State:_____________________ Zip Code:_____________________
Phone: _____________________ EMAIL**__________________________________________________________________
(** The membership communicates frequently via email. We will not share your address without your permission)
SURNAMES you are researching: ___________________________________________________ ___________________________________________________
In order to get to know our members better, please list some of your interests in genealogy and outside of genealogy.
This will help us see all of our assets in our society: ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________
Make checks payable to: Washington County Arkansas Genealogical Society, P.O. Box 41, Fayetteville, Arkansas 72702-0041
Please print your information and return to the WCAGS along with you payment. We appreciate your support!
Processed by __________ Date ________ Paid by ________ Check _______ Cash _____
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