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Name____________________________________________________________ Address__________________________________________________________ City_____________________________________State_________Zip________ Phone(Optional)___________________________________________________ Surname(s) being researched_________________________________________ _________________________________________________________________ |
| MEMBERSHIP DUES: | January 1st - December 31st | $15.00 | ||
| July 15th - December 31st | $ 7.50 |
| Please enclose application with payment and mail to: |
| COAL COUNTY GENEALOGICAL SOCIETY |
| P. O. Box 436 |
| Coalgate, OK 74538 |