| (Please print this page to use for your membership application) Longmont Genealogical Society Membership Application Name ____________________________________________________________________ Maiden Name (if applicable) ___________________________________________________ Second Family Member (if applicable) ________________________________________________ Address Street __________________________________________________________________ City/Town _______________________ State___________Zip+4_____________ Telephone: (___) __________________ E-mail: _____________________ |
| Check One:
__ Individual membership ($15.00) __ Family membership ($18.00) |