Membership Application/Lafayette Co. Genealogy Workshop

Lafayette County Genealogy Society

Order Form
(Shipping is FREE if you pick up the Book at the Society in Darlington, WI)

PLEASE MAIL TO (unless stated different):	LCGS Publication Committee % Mae Smith, Treasure, POB 183, Darlington, WI. 53530

NAME:_____________________________________________
ADDRESS:__________________________________________	Phone:_______________________
CITY/STATE/ZIP:_____________________________________

____Copies of Combined Plat Book...................$ 50.00 plus $6.00 S/H per book ____________

____Copies of Probate Index.............................$ 17.00 plus $4.00 S/H per book ____________

____Copies of Index to Marriage Records........$ 25.00 plus $4.00 S/H per set ____________

Please find enclosed my check or money order in the amount of $_________________ (U.S. Funds) for the above items.