Open - Monday and
Extended hours on the first two Mondays of each month
Or By Appointment
Come visit us at our new location!
Application for Membership
New Member: ______ Renewing Member: ______
City: ___________________________________ State: ________ Zip: _____________
Permission given to list my name and information in the newsletter? Yes ______ No _______
E-Mail: ____________________________________ Phone: ______________________
Surnames Searching: _______________________________________________________
Dues: $15.00 for individuals; additional family members are $2 each.
Membership includes four quarterlies. Membership runs from January 1 to December 31.
Gift memberships are always a great idea! If you have a friend or family member who is interested in history or genealogy, give them a membership as a gift. We will send them a notice and membership card.
(Print this form, fill it out and mail it along with your check to the above address.)
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Copyright © Piatt County Historical and Genealogical Society: 2007, 2008, 2009, 2010, 2011, 2012, 2013
This page last revised: February 2013