MEMBERSHIP APPLICATION

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

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Circle areas in which you are available to serve: 

Computer Work 

Indexing 

Programs 

Publicity 

Typing 

First Families 

Newsletter 

Proofreading 

Queries 

 

  Other (specify):_______________________________________________________________
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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)
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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