Membership Application
Benefits of membership are discounts on publications and quarterly newsletter.

This application may be printed and brought to the next Genealogical Society meeting or it may be mailed to:

CLINTON COUNTY GENEALOGICAL SOCIETY
PO BOX 393
Lock Haven, PA  17745-0393

o  New Application      o  Renewal (do not fill surname section)

Dues are: Individual $15.00 per year, Family $20.00, Organization $30.00. 
Annual membership period runs from January through December

NAME:______________________________________________________

STREET:____________________________________________________

CITY: _______________________________________________________

STATE: _____________________ZIP:____________

PHONE NUMBER:____________________________

EMAIL ADDRESS:_____________________________

Surnames of Interest:___________________________________________

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