MEMBERSHIP APPLICATION Membership is on a calendar year basis. Dues are currently $10 per year for two individuals at the same address. (Can be spouses or parent and child.) Renewals are due by January 31 each year. Please print this form and submit with your dues. Please print information or use address label where applicable. Members receive the Lawco Lore newsletter four times a year. New___ Renewal___ Year/s___________________ Total Encl.$___________ Name/s____________________________________ Member No.___________ Mailing Address____________________________________________________ City___________________________ State_______ Nine Digit ZIP_____________________ Phone ____________________________ E-Mail___________________________________ Are you currently a member of the Ohio Genealogical Society? Yes _____ No______ Lawrence County Families being researched: __________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ May we share your address, email address, or phone number with other researchers?

Yes ________No________

Draw a line through any section you don’t want shared.

May we deliver your newletters by email as a pdf file? Yes _____ Prefer hard copy ________ Make check payable to and mail to: Lawrence County Genealogical Society PO Box 1035 Proctorville, OH 45669-1035