MEMBERSHIP APPLICATION

You will receive the following benefits:

Free use of the Genealogy Library
4 issues of The Pike County Missouri Echo
One free query per year
You may submit your ancestor's biographical sketch for publication in the Echo

Membership year: Jan. 1 to Dec. 31
Individual membership: $12.00
Lifetime membership: $150.00

(Please print or type)

20___  MEMBERSHIP
Name: _________________________________________________________
Address: _________________________________________________________
City: ________________________

State:

________

Zip:

____________
Phone: ________________________

Email:

____________________________
No. Joining:
__________

Amount Encl:

$__________

New:

_________

Renewal:

_________
Tax-Free
Donation
Amount Enclosed   $________________
Signature: _________________________________________________________
Surnames:
__________________________ __________________________
__________________________ __________________________
__________________________ __________________________

Please mail this completed form with check or money order to:

Pike County Genealogical Society
P. O. Box 313
Bowling Green, MO 63334-0313

Printable Order Form also available

 

 


2000-2016, Rhonda Stolte Darnell