MEMBERSHIP APPLICATION: NEW OR RENEWAL

Annual Dues: Single $15.00______ Joint $25.00______Life Single $150.00______ Joint $225.00______

Joint  means same household and same address   Donations Appreciated $______

Mail To: Harrison County Genealogical Society, PO Box 301, Cadiz, Ohio 43907-0301

Checks payable to: Harrison County Genealogical Society. Please send no cash.

Name:___________________________________________________________________________________

Address:__________________________________________________________________________________

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E-Mail Address:____________________________________________________________________________

I would like to have my newsletter sent to me by email: Yes ____No ____

Are you currently a member of the Ohio Genealogical Society? Yes___ No___

SURNAMES will be placed in our surname file and will be made available to persons doing research in our

library. (Please type or print)________________________________________________________________

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QUERY FOR NEWSLETTER (Please type or print)____________________________________________

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Application updated December 15, 2010                      Home