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

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Today's date:______________ New member _________________Renewal: _____________________
(prorated after July 1)(Due by March 1)

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________________________________________________________________________________________________

ADDRESS_____________________________________________________________________________________________
(Street or P0 box) City State ZIP

PHONE_______________________________________________________________________________________________

E-MAIL:_______________________________________________________________________________________________

WEB PAGE ADDRESS:________________________________________________________________________________

SURNAMES I AM RESEARCHING:

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

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


QUERY:  ____________________________________________________________________________________________

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