Printable Membership Form

If you are interested in joining the LaPorte County (IN) Genealogical Society, please complete the following, print, and mail to:

LaPorte County (IN) Genealogical Society

ATTN:  MEMBERSHIP COMMITTEE

904 Indiana Avenue

LaPorte, IN  46350


First Name:    Last Name:
 

Street:    City:  

                                              State: Zip:

 

Telephone:-         Email:


New Membership

Renewal

Individual Membership $10.00 Family Membership $12.00
Society $10.00 Library $10.00

Individual Life $150.00

Please enclose a SASE with dues if you wish to receive a membership card.


Directions for using order form:
This form can be used in one of two different ways.
  • Simply print this form and fill in necessary information by hand; or
  • Type in your complete information and then print out the completed form.