Annual dues are payable by January 31 of each year. |
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_____ Yes, I want to become a member of the Multicultural Genealogical Center. Name __________________________(Please Print) Address _____________________________________ Phone ________________________________________ email _________________________________________ Enclosed are my year 2006 dues for (check one): __ Annual Regular Individual membership ($15.00) __ Annual Student membership ($6.00) __ Annual Senior Citizen membership--age 50 and over ($10.00) __ Organization or Sponsor membership (donation of __________) Or, enclosed are: __ My lifetime membership dues ($125.00) __ First installment, lifetime membership dues ($31.25) __ Second installment, lifetime membership dues ($31.25)--due May, 2006 __ Third installment, lifetime membership dues ($31.25)--due August, 2006 __ Last installment, lifetime membership dues ($31.25)--due November, 2006 Family names I want to research are: ____________________ I also will support the MGC by: __ Volunteering to work in the Research Center __ Donating copies of my family tree/family history data __ Donating copies of my family pictures, videotapes, etc. __ Donating artifacts, etc. for exhibit ( __ temporary loan; __ permanent loan) __ Sharing stories (oral history) about my family's lives in Southern Ohio __ Working on a committee to compile pertinent data from records of courthouses and other public sources __ Sharing my experiences in gathering family history __ Conducting short training session(s) on how to gather family history __ Other ways (specify)_______________________ __________________________________________________ Contact me at (phone or email)_________________________ On (days of the week)_______________________________ At (hours) _________________________________________ (rev.3-02-06) ---------------------------------For more information contact: Ada Woodson Adams, President, 740 448-1305 email amadams@frognet.net Mrs. Debbie Rowe, Membership Chairperson, 740 551-2699 drowe@frognet.net ----------------------------------------------------------- Return this Application to: The Multicultural Genealogical Center P.O. Box 125 Chesterhill, Ohio 43728 |