TO:  LOGAN COUNTY GENEALOGICAL SOCIETY, INC.
         P.0. BOX 1419
         GUTHRIE, OK 73044-1419

Today's date:______________        New member _________________
                                                                                       (prorated after July 1)

                                                           Renewal  _____________________

Enclosed is my check for:
____  Membership Fee (Jan.1-Dec. 31)
          $20/year per Individual or
          $20 + $5 per each add'l family member

____  Tax-deductable Gift (optional)

____  Total Enclosed


NAME_________________________________________

PHONE________________________________________
 

ADDRESS_____________________________________________________________

                          (Street or P0 box)                        City State ZIP
 

E-MAIL:_______________________________________________________________

WEB PAGE ADDRESS :______________________________________________________

SURNAMES I AM RESEARCHING: ______________________________________________________________________

______________________________________________________________________
 

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

May we include these names on our web page on the INTERNET? _____   In the LCGS News? _____

QUERY:  _______________________________________________________________ ________
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