Mail completed form to:

Martin County Genealogical Society
P. O. Box 45
Shoals, IN 47581

MEMBERSHIP FORM

Type of Membership:

New ______    Renewal ______

Choose one:

Individual ($10.00)

Family ($10.00)

Name: ____________________________________________________________________

Street: ____________________________________________________________________

City: _________________________________ State: ___________ Zip: ________________

Telephone: ______________________________________ County ____________________

Family Names: ______________________________________________________________


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