MEMBERSHIP APPLICATION

NAME:_____________________________________________________________________
STREET:___________________________________________________________________
CITY/STATE/ZIP:_____________________________________________________________
PHONE:______________________________________EMAIL:________________________
WEBSITE:__________________________________________________________________
FULTON COUNTY SURNAMES/DATES: ___________________________________________________________________________
___________________________________________________________________________
____________________________________________________________________________

Circle areas in which you are available to serve:

Computer Work	Indexing	Programs	Publicity	Typing
First Families	Newsletter	Proofreading	Queries

Other (specify):_______________________________________________________________

Enclosed is $________ for a single/joint (circle one) membership for the year _______. Annual membership $12.00 (single) or $15.00 (joint - 2 persons same address)

Fulton Co Chapter of the Ohio Genealogical Society

Release

Name (print):

Address (print):

I agree that all documents submitted, regardless of format, become the property of The Fulton County Chapter of the Ohio Genealogical Society, and may be reproduced and/or published by the Society in any printed or electronic format.

Signature

___________________

Date

Print this application and return with any queries and/or charts you would like printed in the newsletter to:

Fulton County Chapter, OGS
P.O. Box 337
Swanton, OH 43558