Lake County Genealogical
Society
184 Phelps Street
Painesville, Ohio 44077-3927
LCGSOhio@juno.com
Membership Application Form
Any person interested in genealogical
research and the preservation of such records
may become a member upon payment of dues.
Dues cover January 1 through December 31 of
the current year.
Enclosed US$10.00 for Individual Membership, or
US$15.00 for a Couple living at the same address.
PLEASE PRINT
Name ___________________________________________________________________
Address _________________________________________________________________
City _____________________________________
State _____________________________ Zip _________________
Phone ( ) ________________
E-mail Address _______________________________
The quarterly LakeLines newsletter is sent via email.
Please check your email address for accuracy
and legibility.
| Member Ohio Genealogical Society | YES / NO | |
| Member First Families of Ohio | YES / NO | |
| Member First Families of Lake County | YES / NO |
Mail completed form and make check payable to: Lake
County Genealogical Society,
184 Phelps Street, Painesville, Ohio 44077
If you want a membership card, please enclose a
SASE or pick it up at a membership meeting.
last update 29 DECEMBER 2011