Lake County Genealogical Society Membership

September 1 1916 - August 31 2017

Name __________________________________________

Address ________________________________________

City ___________________________________________

State ____________________   Zip Code _____________

Phone Number  (     ) _______________________

E-mail ________________________

SURNAMES _____________________________________

_______         Individual Membership  - $10.00         

_______         Family Membership - $15.00  (one household)

Membership includes a quarterly newsletter.  All newsletters are sent to your email.

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