Membership Application

Cedar County Genealogical Society, Box 52, Tipton, Iowa 52772-0052

 Name ___________________________________________________________________________

 Street ___________________________________________________________________________

 City ________________________________ State ________________ Zip ____________

 E-mail __________________________________________________________________________

 Dues Enclosed: $10_____for individual membership    $12.50 ____ for family membership

 I am a member of the Iowa Genealogical Society? Yes _____ No _____

 I am researching the following surnames: (you may submit up to 20 names)

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