Membership Application
 
( Fill in the blanks, print it out, then bring it with you when you visit, or mail it to: )
 
Indian Territory Genealogical & Historical Society
John Vaughan Library
Northeastern State University
Tahlequah, OK 74464

 

Date:  
Full Name: Maiden Name:
Address: City:
State: Zip:
Home Phone: Work Phone: Occupation:
  (Please include area code.)
If Indian Ancestry, List Tribe
Type of Membership: New   Renew    
Do you use a computer in your genealogical research? Yes?   If yes, what kind?
   
List the families you are researching.
  Surname Locations and Time Period

 

 
Dues are $5 per member ($7.50 per married couple) for one year.
Dues paid after October 1 are good for the next whole year, January to December.
 
Make checks payable to: Indian Territory Genealogical & Historical Society
     Remember!   Send no cash.
 
Turn this form in with your dues:
  • when you visit the Ballenger Room on NSU's Campus.
  • when you attend a meeting of the society.
  • by mailing them to:
I.T.G.H.S.
JOHN VAUGHAN LIBRARY
NORTHEASTERN STATE UNIVERSITY
TAHLEQUAH OK 74464