Print Membership Application

HARRISON COUNTY GENEALOGICAL SOCIETY

Name:                                                                 .

Address:                                                              .

City:                               State:                  Zip:          .

E-Mail Address:                                                         .

Newsletter: If you would like your newsletter sent to you by email please fill out the following form:

I would like to have my newsletter sent to me by email: Yes No

(The surnames will be placed in our surname file and will be made available to persons doing research in our library.)

SURNAMES (Please type or print)

Surnames: .

QUERY (Please type or print) QUERY FOR NEWSLETTER ONLY

Query:                                                                   .

As a member you will receive 4 issues of our newsletter, "Our Harrison Heritage"

Meetings are held the fourth Monday of each month, except May and December,

in the Harrison County Historical Society Meeting Room, 168 East Market Street, Cadiz, Ohio.

Annual dues (payable on a calendar year basis)

Membership: New ____  Renewal ____.

Single $10.00_____  Joint $15.00____  Single life $150.00____  Joint life $225.00______.

Are you a member of The Ohio Genealogical Society? Yes__ No __ (needed for our records)

Please make checks payable to Harrison County Genealogical Society and send to the address below.

Please do not send cash.

Harrison County Genealogical Society 45507 Unionvale Rd Cadiz, Ohio 43907-9723

Signature_____________________________.