APPLICATION FOR MEMBERSHIP

Membership runs from 1 January to 31 December.  The four quarterly issues of the Kinsman Courier
as well as a year-end Surname index is included plus free queries in the Kinsman.

I/we hereby apply for membership in the Coshocton County Chapter, Ohio Genealogical Society for 200__

Make check payable to:  Coshocton County Chapter, OGS

                    mail to:        Coshocton County Chapter, OGS
                                        P.O. Box 128
                                        Coshocton, Ohio 43812-0128

Miss          __________________________________________________________________________
Mrs.         First                                Middle                            Maiden                            Last
Mr.

Address    ___________________________________________________________________________
                 Street                                          

                ____________________________________________________________________________
                City                                                                State                                        9 Digit Zip Code

PLEASE ANSWER ALL OF THE FOLLOWING!                            Phone Number (____)____-________

I learned about the organization from ________________________________________________________

New ______    Renewal ______       Current member of State OGS?  Yes ______   No ______

Email Address _________________________________________________________________________

I give permission to publish mailing and email address in the Kinsman Courier - Yes ____   No ____ 

    ________________________________________________________
                                            Signature of applicant

Free queries to members.  $1.00 per query for non-members.  Only one issue of the newsletter will be
mailed to a single address where there is a joint membership.  MEMBERSHIP is by calendar year only. 
Dues for the current year need be paid by Feb in order to receive the spring issue of the newsletter
when it is mailed.  When joining prior to Oct. 31, back issues for that year will be mailed to you. 

Single membership:  $10.00        -        Joint membership:    $12.00

If you want a membership card, you must include a SASE (self addressed stamped envelope).

List Surnames you are researching on the lines below.  In addition, list the State or County being searched beside
each name.  You may list up to TEN surnames.  List only those not already listed on prior forms.

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