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OLYMPIA GENEALOGICAL SOCIETY
APPLICATION FOR MEMBERSHIP -
MEMBERSHIP RENEWAL

 Name: ____________________________________________________________________________

 Maiden Surname: __________________________  Spouse's Name: ___________________________

 Address: __________________________________________________________________________

 City: ___________________________________ State: _______ Zip+4: _______________________

 Telephone: (__________) ______________________________________

 E-mail: _____________________________________________________

 Do you need a ride to the meetings? ______________________________


 Do you prefer to only have your name, but NOT your contact information included in the member directory?
  Circle one:      Name only      Name & Contact Information      Neither

Single Membership         $20.00 per year   (Membership year is from Sep 1 to Aug 31)

Family (one newsletter)   $25.00 per year

OGS Membership Pin      $7.50 each

New Membership _____    Renewal _____    Reinstatement _____

Please enclose a S.A.S.E. if you want a receipt and membership card mailed.



Send this form and check
(payable to OGS) to:
Olympia Genealogical Society
Attn: OGS Treasurer
PO Box 1313
Olympia, WA 98507-1313