Richland County Genealogical & Historical Society

                                           Member Application

Please issue ____ or renew ____ my membership in the Richland County Genealogical &
Historical Society.  I understand that my yearly dues entitles me to four issues of the
quarterly publication Foot Prints Past and Present, and newsletters when issued.

 

Membership dues are $20.00 per calendar year. Members joining the Society in mid-year will receive
back issues of the quarterly for that year. If you have a box number or a 9-digit code, please list them.

 Name: ________________________________________________________________________

 Address: ______________________________________________________________________

 City: _____________________________________  State: ________  Zip: _________________

 Phone: _________________________________  Fax: __________________________________

 E-Mail Address: ________________________________________________________________

 Please list several family surnames of interest to you. They will be published with your name in the
yearly membership list: ________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 

Please make your check payable to:

RICHLAND COUNTY GENEALOGICAL & HISTORICAL SOCIETY

Mail application and check to:

GEORGE ANN WAXLER, 590 N GENTRY RD, OLNEY, IL 62450