Gaston Lincoln Genealogical Society
PO Box 584
Mount Holly, NC 28120-0584
| ADDRESS CHANGE FORM |
| Please send mail to new address beginning: | Month __ __ | Day __ __ | Year 2001 |
| Membership # | . |
| Last Name | . | First Name | . | Middle Name | . |
| OLD Information |
| OLD P.O. Box | . |
| OLD Street Address | . |
| OLD City | . | OLD State | . | OLD Zip +4 | . |
| NEW Information |
| NEW P.O. Box | . |
| NEW Street Address | . |
| NEW City | . | NEW State | . | NEW Zip +4 | . |
| *OPTIONAL Information |
| Phone # | . | FAX # | . |
| . | Website | http://www. |
| Your Signature | . |
| Today's Date | Month __ __ | Day __ __ | Year 2001 |