NEW Membership Form

Please print and mail to:

Fairfield County Chapter OGS

503 Lenwood Drive

Lancaster, OH 43130-2261

 
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Todayís Date __________________

 

Name _________________________________________________________________________

 

Address _______________________________________________________________________

 

City ______________________________State __________Zip_______________-_________

 

Phone (for Chapter use only, not for publication) ____________________________________________

 

Email _________________________________________________________________________

 

______ Check here to receive your newsletter electronically by E-mail (our preference)

 

______ Check here to receive your newsletter by US Mail

 

 

_____ Single ($15.00) ††††††††††† _____ Joint ($18.00)†††††

 

_____ Donation included †††††††† $_________________Thank you!

 

 

______Yes, My Name, Address, Email & Surnames may be published in Upcoming Chapter Directories.

 

______No, please do not include my Name, etc. in any upcoming Chapter Directories.

 


Are you currently a member of the Ohio Genealogical Society? ††††††††††† †††††_____Yes††††††† _____No


 

Surnames being researched:

 

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________________________________††††††††††††††††††† ___________________________________

 

________________________________††††††††††††††††††† ___________________________________

 

________________________________††††††††††††††††††† ____________________________________

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†† For Office Use