MEMBERSHIP APPLICATION 2012

NAME ______________________________________________________________________

STREET______________________________________________________________________

CITY_______________________________ STATE_____________ ZIP__________________

PHONE NUMBER_______________________________________________________________

SURNAMES __________________________________________________________________

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E-MAIL_______________________________________________________________________

Membership Dues are due in January of each year.

Individual Membership -- $15.00
Family Membership -- $20.00
Corporate Membership -- $35.00

Make checks payable to GSCCA
(Genealogy Society of Craighead County, Arkansas)
P.O. Box 844
Jonesboro, AR 72403-0844

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Betty Woodall

Nancy Matthews