Print out and mail the following form 

Mail TO : 3 Forks Genealogical Society

                  102 South State Street

                  Wagoner, Ok  74467

                   Phone:918-485-2741

 

Today's date:______________

Enclosed is my check for:
{  }$24 for a one-year membership single and couples (Due April 1 of each year)

New member__________________

Renewal  _____________________

Gift _____________

NAME_________________________________________

PHONE________________________________________
 

ADDRESS_____________________________________________________________

                          (Street or P0 box)                        City State ZIP
 

E-MAIL:_______________________________________________________________

SURNAMES I AM RESEARCHING: ______________________________________________________________________

______________________________________________________________________
 

Please indicate if any of the surnames have WAGONER COUNTY, OKLAHOMA, connections: ______________________________________________________

May we include these names on our web page on the INTERNET? ______________