LOWER COLUMBIA GENEALOGICAL SOCIETY MEMBERSHIP APPLICATION

TO:  MEMBERSHIP CHAIR
         LOWER COLUMBIA GENEALOGICAL SOCIETY
         P.0. BOX 472
         LONGVIEW, WA 98632-7306

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

                                                           Renewal  _____________________

Enclosed is my check for:
_______  Membership Fee (Jan.1-Dec. 31)
                 $15/year per Individual or
                 $22.50/year Family (at one address)

_______  Tax-deductable Gift (optional)

_______  Total Enclosed

Checks may be made payable to LCGS.


NAME___________________________________ (If Family, name of Spouse, etc. ____________________________

PHONE_____________________________________________

ADDRESS_____________________________________________________________

                          (Street or P0 box)                        City State ZIP

E-MAIL:_______________________________________________________________

WEB PAGE ADDRESS, if any:______________________________________________________

SURNAMES I AM RESEARCHING: ______________________________________________________________________

______________________________________________________________________
 

Please indicate if any of the surnames have Southwest Washington or Northwest Oregon, connections:

____________________________________________________________________________


QUERY:  _______________________________________________________________________
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