LGS Membership Application
 
(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) ____________________________________________

Birthday Month__________________________________Day of the Month______________

Address

Street __________________________________________________________________

City/Town _______________________ State___________Zip+4_____________

Telephone: (___) __________________ E-mail: _____________________

Check One:   

  __  Individual membership ($15.00)
                

__  Family membership ($18.00)

Mail to:
Longmont Genealogical Society
P.O. Box 6081
Longmont, CO 80501-2077

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updated 08/13/2013