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CRAWFORD COUNTY MEMBERSHIP INFORMATION

Please print out this form, then fill in the answers for the information needed to process your membership. Send this info by postal mail with your check made payable to: CRAWFORD COUNTY CHAPTER of O.G.S.



Send to:
CRAWFORD COUNTY CHAPTER of O.G.S.
P.O. Box 1033
Bucyrus, OH 44820

Attention: Membership Chairperson

Single-$8.00.....Joint-$10.00.......Sustaining $15.00

(Sustaining membership is for those who would like to do something for the Chapter, but, because of distance, personal, or professional obligations, cannot volunteer time nor materials. Money from sustaining memberships will be used for the current operation of the Chapter.)


Name: Last____________________First________________Middle_______

Street Address__________________________________________________

City_________________________________State____________

7-Digit Zip Code _____________-________

Area Code/Phone No. (_____)_______________

E-mail address_________________________________

Your Web Page if applicable: __________________________

Send in your family stories for the newsletter.

Surnames you are looking for:_________________________





Revised on ... January 22, 2012



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