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          FULTON COUNTY CHAPTER, OGS Membership Application 
 
Our membership year runs from January through December 
 
Name: ___________________________________________________________ 
 
Street: ___________________________________________________________ 
 
City/State/Zip: ______________________________________________________ 
 
Phone: ____________________ Email: _______________________________ 
 
Current OGS Member?  Yes ____  No ____ 
 
Fulton County Surnames and Dates: ________________________________________
 
__________________________________________________________________ 
 
_________________________________________________________________ 
 
Circle areas in which you are available to serve: 
 
Newsletter   Programs   Computer Work  First Families     Publicity   Proofreading   Queries 
 
Other (Specify): _____________________________________________________ 
 
Our membership year runs from January through December. Annual membership is $12.00 (single) or $15.00 joint (2 persons, same address). Please make your check payable and mail to: Fulton County Chapter, OGS, P.O. Box 337, Swanton, OH 43558. ________________________________________________________________ 
 
RELEASE Fulton County Chapter of the Ohio Genealogical Society 
 
Name (print): ______________________________________________________ 
 
Address (print): _____________________________________________________ 
 
I agree that all documents submitted, regardless of format, become the property of the Fulton County Chapter of the Ohio Genealogical Society, and may be reproduced and/or published by the Society in any printed or electronic format. 
 
Signature: ____________________________________________________ 
 
Date: ___________________